Provider Demographics
NPI:1184249880
Name:SASSER, JOEY (DO)
Entity type:Individual
Prefix:DR
First Name:JOEY
Middle Name:
Last Name:SASSER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3144 ROSS CLARK CIR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-3038
Mailing Address - Country:US
Mailing Address - Phone:334-791-3355
Mailing Address - Fax:334-923-4264
Practice Address - Street 1:3144 ROSS CLARK CIR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-3038
Practice Address - Country:US
Practice Address - Phone:334-791-3355
Practice Address - Fax:334-923-4264
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL2640208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program