| 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 |
|---|---|
| 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 |
|---|---|
| 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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