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Contract Details
Facility name
The Orthopaedic Group
Provider ID
P000000001
NPI
1164489951
Tax ID
631187140
Effective Date
2/8/2021
Last Updated
2/16/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_473
Exhibit Attachment
Location Details
Address
2016 South Alabama Avenue
Monroeville, AL 36460
United States
Phone
251-476-5050
(
Phone
)
Billing Details
Address
P.O. Box 86144
Mobile, AL 36689
Billing Phone
251-476-5050
Specialty Type
Surgery, Orthopedic
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