Joanne    Baird    MD
Contract Details
Gulf Orthopaedics
Facility name
Provider ID
P000000001
NPI
1609072560
Tax ID
922164113
Effective Date
6/1/2024
Last Updated
10/10/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1121 Belleville Avenue Suite A
Brewton, AL 36426
United States
Phone
251-435-5099 (Phone)
Billing Details
Address
1121 Belleville Avenue
Suite A
Brewton, AL 36426
Billing Phone
251-435-5099
Specialty Type
Surgery, Orthopedic
Map
Address