# SWEET HOME PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235911595
- **Authorized official:** MRS. TIFFANY WILLIAMS CRNP (OWNER, PROVIDER)
- **Authorized official phone:** (205) 523-3435

## Contact information

- **Practice address:** 2231 TRENTON DR, TUSCALOOSA, AL 35406-1622
- **Practice address phone:** (205) 657-0711
- **Practice address fax:** (205) 270-7118
- **Mailing address:** PO BOX 1962, TUSCALOOSA, AL 35403-1962
- **Mailing address phone:** (205) 657-0711
- **Mailing address fax:** (205) 270-7118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2023
- **Last updated:** 10/19/2023