Elizabeth  D  Cole    MD
Contract Details
American Family Care--Pell City
Facility name
Provider ID
P000007808
NPI
1265470900
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
20 Hazelwood Drive
Pell City, AL 35125
United States
County
Saint Clair
Phone
2053388008 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address