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Organization

AMERICAN FAMILY CARE TENNESSEE, LLC

Active
Parent organization
AMERICAN FAMILY CARE TENNESSEE, LLC
Other names
American Family Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERICAN FAMILY CARE TENNESSEE, LLC
Authorized official
MR. RANDY JOHANSEN (PRESIDENT)
(205) 421-2102
Entity
Organization

Contact information

Practice address
6606 CHARLOTTE PIKE, STE# 104, NASHVILLE, TN 37209-4202
(615) 630-6095
(615) 630-6099
Mailing address
2147 RIVERCHASE OFFICE RD, BIRMINGHAM, AL 35244-1836
(205) 403-8902
(205) 982-0278

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
08/23/2010
Last updated
08/23/2010
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