Basic Information
Provider Information
NPI: 1720441868
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DONNELL
FirstName: SARAH
MiddleName: AMELIA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1010 AIRPARK CENTER DR
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372175200
CountryCode: US
TelephoneNumber: 6152214400
FaxNumber:  
Practice Location
Address1: 3512 OLD MONTGOMERY HWY
Address2:  
City: HOMEWOOD
State: AL
PostalCode: 352095750
CountryCode: US
TelephoneNumber: 2058792260
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2016
LastUpdateDate: 08/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102XMD.42922ALY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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