Provider Demographics
NPI:1497505481
Name:MCDAVID, SARAH CARLEY (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CARLEY
Last Name:MCDAVID
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SPRING HILL CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1514
Mailing Address - Country:US
Mailing Address - Phone:251-689-3172
Mailing Address - Fax:
Practice Address - Street 1:8 SPRING HILL CT
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1514
Practice Address - Country:US
Practice Address - Phone:251-689-3172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-109218163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty