Sandra Edwards Perry

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Opelika, AL

NPI 1124617022 · NPPES record last updated Jan 14, 2021

Key facts

NPI
1124617022
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
815 Morning Glory Dr
Opelika, AL 36801-2499
Phone
(205) 955-0549
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

815 Morning Glory Dr
Opelika, AL 36801-2499

Mailing address

815 Morning Glory Dr
Opelika, AL 36801-2499
Phone (205) 955-0549

Other providers in Opelika, AL

All providers in Opelika, AL · Student in an Organized Health Care Education/Training Program in Alabama

Sources for this page

Verify at the official NPI Registry.