Basic Information
| Provider Information | |||||||||
| NPI: | 1588199459 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TODD | ||||||||
| FirstName: | SARAH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 260 MACNIDER BUILDING CB7220 | ||||||||
| Address2: | UNC SCHOOL OF MEDICINE | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199661505 | ||||||||
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| Practice Location | |||||||||
| Address1: | 260 MACNIDER BUILDING CB7220 | ||||||||
| Address2: | UNC SCHOOL OF MEDICINE | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199661505 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2017 | ||||||||
| LastUpdateDate: | 08/16/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2021-00887 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 227303 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 227303 | NC | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 2021-00887 | NC | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.