Most Relevant Information
Provider Data
| NPI Number: | 1003270323 |
| Provider Name: | SABRINA GODDARD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | BP10056084 |
Most Important Dates
| Enumeration Date: | 04/12/2016 |
| Last Updated: | 02/01/2024 |
Provider Practice Location
619 19TH ST S
BIRMINGHAM
AL
352492125
Practice Location Phone/Fax
| Phone: | 2059344011 |
| Fax: |
Provider Mailing Location
PO BOX 55310
BIRMINGHAM
AL
352555310
Provider Mailing Phone/Fax
| Phone: | 2057319701 |
| Fax: |