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Donald
W
Welsh
MD
Contract Details
American Family Care--Birmingham-Parkway
Facility name
Provider ID
P000001842
NPI
1902853260
Tax ID
630825248
Effective Date
7/1/2011
Last Updated
4/24/2018
Direct Contract
Yes
Term Date
4/24/2018
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
9232 Parkway East
Birmingham, AL 35215
United States
County
Jefferson
Phone
2058336888
(
Phone
)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Internal Medicine
Map
Address