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Individual

MARK TICOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(800) 822-8816
Mailing address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.26649
AL

Other

Enumeration date
06/14/2007
Last updated
10/25/2022
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