Organization
ICP ALABAMA ACO BILLING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY THOMASON (AUTHORIZED OFFICIAL)
(501) 406-6180
Entity
Organization
Contact information
Practice address
1 CHASE CORPORATE CENTER STE 400, BIRMINGHAM, AL 35244-7001
(855) 498-6767
(479) 968-1673
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(855) 498-6767
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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