Provider Demographics
NPI:1982754974
Name:SARTAIN, JARRED L (MD)
Entity Type:Individual
Prefix:
First Name:JARRED
Middle Name:L
Last Name:SARTAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 OSCAR BAXTER DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-3698
Mailing Address - Country:US
Mailing Address - Phone:250-343-2205
Mailing Address - Fax:
Practice Address - Street 1:200 CARRAWAY DR STE B2
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594-5072
Practice Address - Country:US
Practice Address - Phone:205-487-7556
Practice Address - Fax:205-487-7559
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27658207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine