Provider Demographics
NPI:1164004446
Name:PHILLIPS, SARAH ABSTON (RD, LD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ABSTON
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 CAHABA RD
Mailing Address - Street 2:
Mailing Address - City:GILBERTOWN
Mailing Address - State:AL
Mailing Address - Zip Code:36908-5676
Mailing Address - Country:US
Mailing Address - Phone:251-263-1401
Mailing Address - Fax:
Practice Address - Street 1:434 CAHABA RD
Practice Address - Street 2:
Practice Address - City:GILBERTOWN
Practice Address - State:AL
Practice Address - Zip Code:36908-5676
Practice Address - Country:US
Practice Address - Phone:251-263-1401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3178133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered