Provider Demographics
NPI:1740729656
Name:SAPPINGTON, ROBERT SPENCER III
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:SPENCER
Last Name:SAPPINGTON
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CAHABA PARK CIR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5002
Mailing Address - Country:US
Mailing Address - Phone:205-290-5353
Mailing Address - Fax:205-449-2322
Practice Address - Street 1:200 CAHABA PARK CIR
Practice Address - Street 2:SUITE 114
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5002
Practice Address - Country:US
Practice Address - Phone:205-290-5353
Practice Address - Fax:205-449-2322
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL157335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier