Lang  Q  Huynh    MD
Contract Details
American Family Care--Birmingham-Forestdale
Facility name
Provider ID
P000000816
NPI
1154403780
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
1664 Forestdale Boulevard
Birmingham, AL 35214
United States
County
Jefferson
Phone
2057912273 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address