Southern Blessings Adult and Pediatrics LLC

NPI #1184204414 in Jasper, Alabama

Provider Information

NPI Number: 1184204414
Entity Type: Organization
Organization Name: Southern Blessings Adult and Pediatrics LLC
Primary Specialty: Clinic/Center
Enumeration Date: Apr 12, 2021
Last Updated: Apr 12, 2021

Practice Location

Address: 1402 PINEVIEW RD
City: Jasper
State: Alabama
ZIP Code: 35504-8906
Phone: (606) 302-1233

Authorized Official

Name: TIFFANY TOLLIVER, CRNP
Title: OWNER/CRNP
Phone: (606) 302-1233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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