Provider Demographics
NPI:1710922968
Name:DAVIS, SARAH C (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:DAVIS
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 1:800 ST. VINCENTS DRIVE
Mailing Address - Street 2:SUITE 500, NORTH TOWER
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1629
Mailing Address - Country:US
Mailing Address - Phone:205-933-8334
Mailing Address - Fax:205-933-2466
Practice Address - Street 1:800 SAINT VINCENTS DR
Practice Address - Street 2:SUITE 500, NORTH TOWER
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1620
Practice Address - Country:US
Practice Address - Phone:205-933-8334
Practice Address - Fax:205-933-8466
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22093207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009957410Medicaid
AL051518590OtherBLUE CROSS
AL051548372OtherBC/BS
AL051550548OtherBLUE CROSS
AL051550548Medicaid
AL009936985Medicaid
AL051502995OtherBLUE CROSS
AL160052686OtherRAILROAD MEDICARE
AL009936985Medicaid
AL051550548OtherBLUE CROSS
AL051550548Medicare ID - Type Unspecified