Provider Demographics
NPI:1255690616
Name:SABO, RACHEL ETHRIDGE (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ETHRIDGE
Last Name:SABO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2400 VIOLET CIR
Mailing Address - Street 2:
Mailing Address - City:SHOAL CREEK
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5227
Mailing Address - Country:US
Mailing Address - Phone:205-601-7499
Mailing Address - Fax:
Practice Address - Street 1:4600 HIGHWAY 280 STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5186
Practice Address - Country:US
Practice Address - Phone:205-971-1826
Practice Address - Fax:205-971-1825
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.33009208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery