Afc Physicians Of Indiana PC
General Practice in Indianapolis, IN. Organization (NPI-2).
NPI number1104285824
StatusActive
Last updated in NPPESFeb 23, 2016
Details
- NPI
- 1104285824
- Entity type
- Organization (NPI-2)
- Legal business name
- Afc Physicians Of Indiana PC
- Organization subpart
- Yes
- Enumeration date
- Feb 23, 2016
- Last updated
- Feb 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | IN | Yes |
Other names
- American Family Care (Doing Business As)
Practice location
10950 Pendleton PikeIndianapolis, IN 46236-2843
Phone 317-826-7425 · Fax 317-826-0744
Mailing address
3700 Cahaba Beach RdBirmingham, AL 35242-5225
Phone 205-403-8902 · Fax 205-421-2109
Authorized official
Randy Johansen
President
2054038902
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