Provider Demographics
NPI:1508808015
Name:SABIN, JAMES STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STEPHEN
Last Name:SABIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-6030
Mailing Address - Country:US
Mailing Address - Phone:601-545-8900
Mailing Address - Fax:601-545-2816
Practice Address - Street 1:120 S 25TH AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-6030
Practice Address - Country:US
Practice Address - Phone:601-545-8900
Practice Address - Fax:601-545-2816
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS064622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
260012886OtherRAILROAD MEDICARE
MS0117433Medicaid
MS260000297Medicare ID - Type Unspecified
MS0117433Medicaid