ICP ALABAMA, LLC

BIRMINGHAM, AL
NPI1801380001
Entity TypeOrganization
Authorized ContactRODNEY THOMASON
Authorized Official
479-498-6747
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2018-06-20
Last Update Date2020-12-18
Business Address
ICP ALABAMA, LLC
2700 CORPORATE DR STE 200
BIRMINGHAM, AL 35242-2733
Phone number: 855-498-6767
Mailing Address
ICP ALABAMA, LLC
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: