ICP TENNESSEE ACO BILLING LLC

MEMPHIS, TN
NPI1174107338
Entity TypeOrganization
Authorized ContactRODNEY THOMASON
Authorized Official
501-406-6180
Organization Subpart ?No
Primary Taxonomy364S00000X Clinical Nurse Specialist
Enumeration Date2021-05-12
Last Update Date2021-05-12
Business Address
ICP TENNESSEE ACO BILLING LLC
5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137-2700
Phone number: 855-498-6767
Mailing Address
ICP TENNESSEE ACO BILLING LLC
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 855-498-6767
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