Ghaith    Ajamoughli    MD
Contract Details
American Family Care--Alabaster
Facility name
Provider ID
P000000014
NPI
1841212974
Tax ID
630825248
Effective Date
7/1/2011
Last Updated
5/22/2014
Direct Contract
Yes
Term Date
5/22/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
120 Colonial Promenade Parkway
Alabaster, AL 35007
United States
County
Shelby
Phone
2056050495 (Phone)
Billing Details
Address
P.O. Box 830810
Birmingham, AL 35283
Billing Phone
Specialty Type
Family Practice
Map
Address