ICP MISSISSIPPI ACO BILLING, LLC

FLOWOOD, MS
NPI1992389167
Entity TypeOrganization
Authorized ContactAYASHA THOMASON
Authorized Official
501-831-1168
Organization Subpart ?No
Primary Taxonomy364S00000X Clinical Nurse Specialist
Enumeration Date2021-05-12
Last Update Date2021-05-12
Business Address
ICP MISSISSIPPI ACO BILLING, LLC
232 MARKET ST
FLOWOOD, MS 39232-3339
Phone number: 855-498-6767
Mailing Address
ICP MISSISSIPPI ACO BILLING, LLC
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 855-498-6767
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