Provider Demographics
NPI:1003515024
Name:SUTTON, SABRINA NICOLE (CCMA)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:NICOLE
Last Name:SUTTON
Suffix:
Gender:F
Credentials:CCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1068 MERCHANTS DR APT 416
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-2969
Mailing Address - Country:US
Mailing Address - Phone:470-891-0940
Mailing Address - Fax:
Practice Address - Street 1:1068 MERCHANTS DR APT 416
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-2969
Practice Address - Country:US
Practice Address - Phone:470-891-0940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy