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Contract Details
American Family Care, Inc.
Facility name
American Family Care
Provider ID
P000001979
NPI
1275549685
Tax ID
274662417
Effective Date
7/27/2018
Last Updated
9/5/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
26 Parkway Drive
Fort Oglethorpe, GA 30742
United States
County
Catoosa
Phone
7069562846
(
Phone
)
Billing Details
Address
26 Parkway Drive
Fort Oglethorpe, GA 30742
Billing Phone
7069562846
Specialty Type
Urgent Care Facility
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Address