Contract Details
Southern Orthopaedic Alliance
Facility name
Gulf Orthopaedics
Provider ID
P000000001
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
Specialty Type
Surgery, Orthopedic
Map
Address