Ronald  W  Perdue    MD
Contract Details
American Family Care--Mobile-Airport
Facility name
Provider ID
P000007817
NPI
1730196437
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
535 Schillinger Road South
Mobile, AL 36695
United States
County
Mobile
Phone
2515446611 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address