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Organization
TENNESSEE VALLEY FAMILY PRACTICE ASSOCIATES PC
Active
Organization
TENNESSEE VALLEY FAMILY PRACTICE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY CHRIS BLEVINS MD (OWNER)
(256) 437-0555
Entity
Organization
Contact information
Practice address
47053 AL HIGHWAY 277, SUITE C, BRIDGEPORT, AL 35740-7205
(256) 437-0555
Mailing address
47053 AL HIGHWAY 277, SUITE C, BRIDGEPORT, AL 35740-7205
(256) 437-0555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7850
AL
Other
Enumeration date
12/06/2013
Last updated
01/30/2014
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