Provider Demographics
NPI:1902399892
Name:MYERS, SARA SEALE (DO)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:SEALE
Last Name:MYERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3570 GRANDVIEW PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2065
Mailing Address - Country:US
Mailing Address - Phone:205-250-8900
Mailing Address - Fax:205-250-8905
Practice Address - Street 1:3570 GRANDVIEW PKWY STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2065
Practice Address - Country:US
Practice Address - Phone:205-250-8900
Practice Address - Fax:205-250-8905
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.2529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine