Christopher    Nichols    MD
Contract Details
The Orthopaedic Group
Facility name
Provider ID
P000000001
NPI
1417915596
Tax ID
631187140
Effective Date
2/8/2021
Last Updated
2/23/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_473
Location Details
Address
6144 Airport Blvd
Mobile, AL 36608
United States
Phone
2514765050 (Phone)
Billing Details
Address
P.O. Box 86144
Mobile, AL 36689
Billing Phone
2514765050
Specialty Type
Physical Medicine & Rehabilitation
Website
Visit Website
Map
Address