Corey  A  Mayer    MD
Contract Details
American Family Care--Tuscaloosa
Facility name
Provider ID
P000007911
NPI
1972828903
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
9070 Highway 69 South
Tuscaloosa, AL 35405
United States
County
Tuscaloosa
Phone
2057229500 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address