Organization
T. MARK RICKETTS, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MARK RICKETTS M.D. (OWNER)
(205) 822-8233
Entity
Organization
Contact information
Practice address
2010 PATTON CHAPEL RD, SUITE 101, BIRMINGHAM, AL 35216-5782
(205) 822-8233
(205) 822-0235
Mailing address
2010 PATTON CHAPEL RD, SUITE 101, BIRMINGHAM, AL 35216-5782
(205) 822-8233
(205) 822-0235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13998
AL
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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