Provider Demographics
NPI:1609248632
Name:REEVES, SABRINA (PA-C)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:REEVES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:KAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:324 COURTHOUSE SQ
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-4809
Mailing Address - Country:US
Mailing Address - Phone:251-580-2555
Mailing Address - Fax:251-580-2576
Practice Address - Street 1:324 COURTHOUSE SQ
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507-4809
Practice Address - Country:US
Practice Address - Phone:251-580-2555
Practice Address - Fax:251-580-2576
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1092363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK51205740OtherBCBS-AL