Basic Information
| Provider Information | |||||||||
| NPI: | 1093885543 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORGAN | ||||||||
| FirstName: | SABRINA | ||||||||
| MiddleName: | NICOLE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 BURTON HILLS BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372156155 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6155651733 | ||||||||
| FaxNumber: | 6152960151 | ||||||||
| Practice Location | |||||||||
| Address1: | 851 GOODYEAR AVE | ||||||||
| Address2: | |||||||||
| City: | GADSDEN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 359031133 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8007804146 | ||||||||
| FaxNumber: | 2564945063 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 00026015 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 051522460 | 01 | AL | BCBS PROVIDER NUMBER | OTHER |