George    Corbett    MD
Contract Details
Baldwin Bone & Joint
Facility name
Provider ID
P000000001
NPI
1760478440
Tax ID
631283588
Effective Date
7/28/2021
Last Updated
7/29/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_489
Location Details
Address
1505 Daphne Avenue
Daphne, AL 36526
United States
Phone
251-625-2663 (Phone)
Billing Details
Address
1505 Daphne Avenue
Daphne, AL 36526
Billing Phone
251-625-2663
Specialty Type
Surgery, Orthopedic Shoulder
Website
Visit Website
Map
Address