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Contract Details
AFC Physicians of Tennessee, P.C.
Facility name
American Family Care
Provider ID
P000008342
NPI
1881028512
Tax ID
273385100
Effective Date
6/20/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1015 Hunters Crossing Drive
Alcoa, TN 37701
United States
County
Blount
Phone
8652382006
(
Phone
)
Billing Details
Address
P.O. Box 935
Birmingham, AL 35201
Billing Phone
2054212076
Specialty Type
General Practice
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Address