Provider Demographics
NPI:1316970189
Name:SARGENT, DEBORAH E (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:E
Last Name:SARGENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 SAINT JAMES SQ
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-2800
Mailing Address - Country:US
Mailing Address - Phone:256-519-9073
Mailing Address - Fax:256-519-9073
Practice Address - Street 1:52 SAINT JAMES SQ
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-2800
Practice Address - Country:US
Practice Address - Phone:256-519-9073
Practice Address - Fax:256-519-9073
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00020277207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-30883OtherBCBS PHYSICIAN BASED
AL51522932OtherBCBS HOSPITAL BASED CRNA
AL51522932OtherBCBS HOSPITAL BASED CRNA