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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