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1841874013
ICP ALABAMA ACO BILLING, LLC
BIRMINGHAM, AL
NPI
1841874013
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Entity Type
Organization
Authorized Contact
RODNEY THOMASON
Authorized Official
501-406-6180
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2021-05-12
Last Update Date
2021-05-12
Business Address
ICP ALABAMA ACO BILLING, LLC
1 CHASE CORPORATE CENTER STE 400
BIRMINGHAM, AL 35244-7001
Phone number: 855-498-6767
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Mailing Address
ICP ALABAMA ACO BILLING, LLC
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 855-498-6767
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