Southern Blessings Adult And Pediatrics Llc | |
1402 Pineview Rd Jasper AL 35504-8906 | |
(606) 302-1233 | |
Not Available |
Full Name | Southern Blessings Adult And Pediatrics Llc |
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Speciality | Clinic/center |
Location | 1402 Pineview Rd, Jasper, Alabama |
Authorized Official Name and Position | Tiffany Tolliver (OWNER/CRNP) |
Authorized Official Contact | 6063021233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Blessings Adult And Pediatrics Llc 1402 Pineview Rd Jasper AL 35504-8906 Ph: (606) 302-1233 | Southern Blessings Adult And Pediatrics Llc 1402 Pineview Rd Jasper AL 35504-8906 Ph: (606) 302-1233 |
NPI Number | 1184204414 |
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Provider Enumeration Date | 04/12/2021 |
Last Update Date | 04/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184204414 | NPI | - | NPPES |
1003473877 | Medicaid | AL | |
1-157411 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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