Karen  G  Reynolds    MD
Contract Details
American Family Care--Birmingham-Montclair Road
Facility name
Provider ID
P000001451
NPI
1598832792
Tax ID
630825248
Effective Date
7/1/2011
Last Updated
4/24/2018
Direct Contract
Yes
Term Date
4/24/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1652 Montclair Road
Birmingham, AL 35210
United States
County
Jefferson
Phone
2059569192 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address