John  W  Scarborough    MD
Contract Details
American Family Care--Decatur
Facility name
Provider ID
P000003504
NPI
1922049949
Tax ID
630825248
Effective Date
7/1/2011
Last Updated
5/28/2014
Direct Contract
Yes
Term Date
5/28/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2604 Highway 31 South
Decatur, AL 35603
United States
County
Morgan
Phone
2564453100 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Internal Medicine
Map
Address