Search › Alabama › 111N00000X
Sandy Trail, DC
NPI 1205259066 · on the registry since 2014
Practice
- Address
- 3250 Independence Dr Ste 100
Birmingham, AL 35209 - Phone
- (205) 803-1234
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- FL, AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama