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1801380001
ICP ALABAMA, LLC
BIRMINGHAM, AL
NPI
1801380001
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Entity Type
Organization
Authorized Contact
RODNEY THOMASON
Authorized Official
479-498-6747
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2018-06-20
Last Update Date
2020-12-18
Business Address
ICP ALABAMA, LLC
2700 CORPORATE DR STE 200
BIRMINGHAM, AL 35242-2733
Phone number: 855-498-6767
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Mailing Address
ICP ALABAMA, LLC
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number:
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