Provider Demographics
NPI:1134481955
Name:LOVELL, SABINE (MD)
Entity type:Individual
Prefix:
First Name:SABINE
Middle Name:
Last Name:LOVELL
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 1:1350 DRESDEN DR NE STE 1006
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3990
Mailing Address - Country:US
Mailing Address - Phone:770-800-7220
Mailing Address - Fax:404-779-2805
Practice Address - Street 1:1350 DRESDEN DR NE STE 1006
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-3990
Practice Address - Country:US
Practice Address - Phone:770-800-7220
Practice Address - Fax:404-779-2805
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA89407208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty