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Contract Details
Direct Pay Provider Network
Facility name
BALDWIN BONE & JOINT PC - DAPHNE
Provider ID
P000000001
Tax ID
273151360
Effective Date
8/28/2023
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_522
Exhibit Attachment
Location Details
Address
1505 DAPHNE AVE
Daphne, AL 36526-4298
United States
Phone
866-214-5920
(
Phone
)
Billing Details
Address
P.O. Box 1177
Fairhope, AL 36533
Specialty Type
Diagnostic Services
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