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
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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