Robert  J  Edwards    MD
Contract Details
American Family Care--Decatur
Facility name
Provider ID
P000007824
NPI
1659662575
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
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
Family Practice
Map
Address