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Contract Details
Facility name
Southern Orthopaedic Alliance
Provider ID
P000000001
Tax ID
922164113
Effective Date
1/1/2024
Last Updated
1/3/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1720 Springhill Avenue
Mobile, AL 36604
United States
Phone
251-435-1200
(
Phone
)
Billing Details
Address
1720 Springhill Avenue
Atlanta, GA 36604
Billing Phone
205-985-4111
Specialty Type
Surgery, Orthopedic
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Address