Provider Demographics
NPI:1952642324
Name:GARCIA, SANDRA PESSOA (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:PESSOA
Last Name:GARCIA
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 1:5372 RIVERBEND TRL
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2207
Mailing Address - Country:US
Mailing Address - Phone:205-704-5481
Mailing Address - Fax:205-490-1471
Practice Address - Street 1:5372 RIVERBEND TRL
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2207
Practice Address - Country:US
Practice Address - Phone:205-704-5481
Practice Address - Fax:205-490-1471
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL31351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine