Organization
INTEGRATED CARE-ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JACKSON (CFO)
(813) 746-3990
Entity
Organization
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
Mailing address
PO BOX 671282, DALLAS, TX 75267-1282
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
02/27/2020
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