T. Mark Ricketts, M.d., Llc | |
2010 Patton Chapel Rd Suite 101 Birmingham AL 35216-5782 | |
(205) 822-8233 | |
(205) 822-0235 |
Full Name | T. Mark Ricketts, M.d., Llc |
---|---|
Speciality | Internal Medicine |
Location | 2010 Patton Chapel Rd, Birmingham, Alabama |
Authorized Official Name and Position | Timothy Mark Ricketts (OWNER) |
Authorized Official Contact | 2058228233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
T. Mark Ricketts, M.d., Llc 2010 Patton Chapel Rd Suite 101 Birmingham AL 35216-5782 Ph: (205) 822-8233 | T. Mark Ricketts, M.d., Llc 2010 Patton Chapel Rd Suite 101 Birmingham AL 35216-5782 Ph: (205) 822-8233 |
NPI Number | 1366712564 |
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Provider Enumeration Date | 01/04/2012 |
Last Update Date | 01/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366712564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 13998 (Alabama) | Primary |
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