1255359352 NPI number — SABRINA BRAGG RD, LD

Table of content: KELLY MCHUGH (NPI 1063215549)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255359352 NPI number — SABRINA BRAGG RD, LD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRAGG
Provider First Name:
SABRINA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RD, LD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255359352
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
130 ANNA RIDGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HEFLIN
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36264-1601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-831-3058
Provider Business Mailing Address Fax Number:
256-835-8681

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 COMMERCE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANNISTON
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36207-9451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-831-3058
Provider Business Practice Location Address Fax Number:
256-835-8681
Provider Enumeration Date:
07/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  1510 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 09454 . This is a "BCBS UPIN#" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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