Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 33889 | AL |
NPI | 1013352954 |
---|---|
Provider Name | Sarah Fort Whitehead |
First Address | Birmingham, AL 35209 |
Second Address | Birmingham, AL 35209-6899 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2013 |
Last Update Date | 17/07/2017 |