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Organization

AMERICAN FAMILY CARE, LLC

Active
Other names
American Family Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY JOHANSEN (PRESIDENT)
(205) 421-2101
Entity
Organization

Contact information

Practice address
3000 CAHABA VILLAGE PLZ STE 110, MOUNTAIN BRK, AL 35243-5954
(205) 263-7836
(205) 263-7840
Mailing address
3700 CAHABA BEACH RD, BIRMINGHAM, AL 35242-5225
(205) 403-8902
(205) 421-2109

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AL
207R00000X
Internal Medicine Physician
AL
208D00000X
General Practice Physician
AL
261QP2300X
Primary Care Clinic/Center
Primary
261QU0200X
Urgent Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529202590
AL
Enumeration date
11/20/2017
Last updated
04/24/2024
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