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Lang
Q
Huynh
MD
Contract Details
American Family Care--Birmingham-Hoover-Highway 31
Facility name
Provider ID
P000000816
NPI
1154403780
Tax ID
630825248
Effective Date
7/1/2011
Last Updated
4/24/2018
Direct Contract
Yes
Term Date
4/24/2018
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1680 Montgomery Highway
Birmingham, AL 35216
United States
County
Jefferson
Phone
2059790888
(
Phone
)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
2054038902
Specialty Type
Family Practice
Map
Address