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Organization
SOUTHERN BLESSINGS ADULT AND PEDIATRIC HOUSECALL LLC
Active
Organization
SOUTHERN BLESSINGS ADULT AND PEDIATRIC HOUSECALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TOLLIVER CRNP (OWNER)
(606) 302-1233
Entity
Organization
Contact information
Practice address
1402 PINEVIEW RD, JASPER, AL 35504-8906
(606) 302-1233
Mailing address
1402 PINEVIEW RD, JASPER, AL 35504-8906
(606) 302-1233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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