Provider Demographics
NPI:1326075425
Name:HUGHEY, SARAH LAUREN CAMPBELL (MD)
Entity Type:Individual
Prefix:
First Name:SARAH LAUREN
Middle Name:CAMPBELL
Last Name:HUGHEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 INDEPENDENCE CT STE 125
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4179
Mailing Address - Country:US
Mailing Address - Phone:205-580-1500
Mailing Address - Fax:205-844-3399
Practice Address - Street 1:1651 INDEPENDENCE CT STE 211
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-580-1500
Practice Address - Fax:205-844-3399
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25028207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051528380OtherBLUE CROSS
ALP00373692OtherRAILROAD MEDICARE
MS06023566Medicaid
AL009993205Medicaid
AL009993215Medicaid
AL051528306OtherBLUE CROSS
AL051555907Medicare ID - Type Unspecified