Contract Details
Facility name
Bay Area Plastic Surgery Associates, P.C.
Provider ID
P000007166
NPI
1033271085
Tax ID
630961167
Effective Date
4/1/1994
Last Updated
4/17/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2860 Dauphin Street Suite A
Mobile, AL 36606
United States
County
Mobile
Phone
2514713211 (Phone)
Billing Details
Address
2860 Dauphin Street
Suite A
Mobile, AL 36606
Billing Phone
2514713211
Specialty Type
Ambulatory Surgical Facility
Map
Address