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Organization
IMC OF ALABAMA
Active
Organization
IMC OF ALABAMA
Active
Parent organization
COSPT
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSPT
Authorized official
MR. JOHN MARK MILLER PT, DIP MDT (OWNER/PRESIDENT)
(850) 656-1837
Entity
Organization
Contact information
Practice address
5101 21ST STREET, TUSCALOOSA, AL 35401
(850) 656-1837
(850) 877-2917
Mailing address
2615 CENTENNIAL BLVD., SUITE 101, TALLAHASSEE, FL 32308-0536
(850) 656-1837
(850) 877-2917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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