Stuart  L  Phillips    MD
Contract Details
American Family Care--Daphne
Facility name
Provider ID
P000003550
NPI
1275763823
Tax ID
630825248
Effective Date
7/1/2011
Last Updated
5/27/2014
Direct Contract
Yes
Term Date
5/27/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
6631 Park Drive
Daphne, AL 36526
United States
County
Baldwin
Phone
2516265700 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Internal Medicine
Map
Address