Contract Details
American Family Care, Inc.
Facility name
American Family Care
Provider ID
P000003532
Tax ID
455266876
Effective Date
6/20/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
11/11/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
12994 Highway 9
Milton, GA 30004
United States
County
Fulton
Phone
6782058155 (Phone)
Billing Details
Address
PO Box 830810
Birmingham, AL 352830810
Billing Phone
2054038902
Specialty Type
General Practice
Map
Address