Eileen  M  Gallagher    DO
Contract Details
American Family Care--Cullman
Facility name
Provider ID
P000007820
NPI
1093702326
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
1841 Cherokee Avenue Southwest
Cullman, AL 35055
United States
County
Cullman
Phone
2562972548 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address