Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 31869 | AL |
NPI | 1528357233 |
---|---|
Provider Name | Dr. Jefferson Bradley Sabatini |
First Address | Huntsville, AL 35801-4306 |
Second Address | Huntsville, AL 35801-4306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
198309 | (05) | AL |