Organization · NPI-2

Acipco Medical Group, INC.

Family Medicine · Birmingham, AL

NPI number1508887738
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1508887738
Entity type
Organization (NPI-2)
Legal business name
Acipco Medical Group, INC.
Organization subpart
No
Enumeration date
Jul 22, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine06023933ALYes

Practice location

3200 16th St N
Birmingham, AL 35207-4202

Phone 205-325-7001 · Fax 205-325-1976

Mailing address

Po Box 12725
Birmingham, AL 35202-6725

Phone 205-325-7001 · Fax 205-325-1976

Authorized official

J W Pitts
President/Medical Director
2053257001

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