Organization Name: | AMERICAN FAMILY CARE, INC. |
NPI Number: | 1255578712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDY JOHNSON (PRESIDENT) |
Mailing Address: | 25775 Perdido Beach Blvd, Ste# E-5 Orange Beach |
State: | AL US |
Postal Code: | 365616603 |
Phone Number: | 2519743004 |
Fax Number: | 2519743001 |
NPI Enumeration Date: | 01/20/2009 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |