Organization
AFC PHYSICIANS OF INDIANA PC
Active
Parent organization
AMERICAN FAMILY CARE
Other names
American Family Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN FAMILY CARE
Authorized official
RANDY JOHANSEN (PRESIDENT)
(205) 403-8902
Entity
Organization
Contact information
Practice address
10950 PENDLETON PIKE, INDIANAPOLIS, IN 46236-2843
(317) 826-7425
(317) 826-0744
Mailing address
3700 CAHABA BEACH RD, BIRMINGHAM, AL 35242-5225
(205) 403-8902
(205) 421-2109
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
IN
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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