Quinn    Millington    RPT
Contract Details
Gulf Orthopaedics
Facility name
Provider ID
P000000001
NPI
1174573844
Tax ID
922164113
Effective Date
9/20/2024
Last Updated
9/20/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1720 Springhill Avenue Suite 3
Mobile, AL 36604
United States
Phone
251-435-2663 (Phone)
Billing Details
Address
1720 Springhill Avenue
Suite 3
Mobile, AL
Billing Phone
251-435-2663
Specialty Type
Physical Therapy
Map
Address