Healthcare Provider Details

I. General information

NPI: 1437840568
Provider Name (Legal Business Name): JIMMY SOJAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 S DONAHUE DR
AUBURN AL
36849-5321
US

IV. Provider business mailing address

392 S DONAHUE DR
AUBURN AL
36849-5321
US

V. Phone/Fax

Practice location:
  • Phone: 855-282-2010
  • Fax:
Mailing address:
  • Phone: 855-282-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number4679
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: