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1942404504
MARK TICOLA
BIRMINGHAM, AL
NPI
1942404504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AL MD.26649)
Enumeration Date
2007-06-14
Last Update Date
2022-10-25
Business Address
MARK TICOLA
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: 800-822-8816
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Mailing Address
MARK TICOLA
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number:
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