Icp Alabama, LLC
NPI #1801380001 in Birmingham, Alabama
Provider Information
- NPI Number
- 1801380001
- Entity Type
- Organization
- Organization Name
- Icp Alabama, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 20, 2018
- Last Updated
- Dec 18, 2020
Practice Location
- Address
- 2700 CORPORATE DR STE 200
- City
- Birmingham
- State
- Alabama
- ZIP Code
- 35242-2733
- Phone
- (855) 498-6767
Authorized Official
- Name
- RODNEY THOMASON
- Title
- AUTHORIZED OFFICIAL
- Phone
- (479) 498-6747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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