NPI 1023241858

M.P.M., LLC

Organisation Preferred Provider Organization Tuscaloosa, AL

Practice location

Address: 6521 Highway 69 S Suite N, Tuscaloosa, AL 35405-3964
Phone: (205) 345-5035

Authorised official

Name: Michael Park McCracken
Title: President
Phone: (214) 886-1862

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2276 (AL)

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Registry record

NPI: 1023241858
Entity type: Organization
NPI issued: 27 Aug 2009
Record last updated: 27 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.