Provider Demographics
NPI:1316454473
Name:UDDIN, SABINA
Entity type:Individual
Prefix:MS
First Name:SABINA
Middle Name:
Last Name:UDDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 NOBLE OAKS DR UNIT 2205
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-6606
Mailing Address - Country:US
Mailing Address - Phone:904-486-6654
Mailing Address - Fax:
Practice Address - Street 1:12800 GEORGIA HIGHWAY 144
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-7343
Practice Address - Country:US
Practice Address - Phone:912-459-1177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program