Individual
ALLISON TOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 HABITAT CV, COVINGTON, TN 38019-2000
(901) 315-3509
(901) 475-2584
Mailing address
419 HABITAT CV, COVINGTON, TN 38019-2000
(901) 315-3509
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0543518
TN
Other
Enumeration date
03/31/2011
Last updated
05/05/2011
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