Organization
AFC PHYSICIANS OF TENNESSEE, PC
Active
Parent organization
AFC PHYSICIANS OF TENNESSEE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFC PHYSICIANS OF TENNESSEE, PC
Authorized official
MR. RANDY JOHANSEN (PRESIDENT)
(205) 421-2102
Entity
Organization
Contact information
Practice address
985 INDUSTRIAL BLVD, SMYRNA, TN 37167-6815
(615) 220-8500
(615) 220-8504
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
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G702075
MEDICARE GROUP IDENTIFIER
TN
Enumeration date
12/16/2010
Last updated
06/12/2020
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