Individual
REBECCA AYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
52 MEDICAL PARK DR E STE 400, BIRMINGHAM, AL 35235-3430
(205) 838-3888
Mailing address
8164 CARRINGTON DR, TRUSSVILLE, AL 35173-4564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-113461
AL
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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