James  F  Henderson    MD
Contract Details
American Family Care--Montgomery-Eastchase
Facility name
Provider ID
P000007827
NPI
1487075289
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
2570 Berryhill Road
Montgomery, AL 36117
United States
County
Montgomery
Phone
3343231330 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address