Healthcare Provider Details

I. General information

NPI: 1023645926
Provider Name (Legal Business Name): SARA FRESE PATTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 SAINT VINCENTS DR STE 430
BIRMINGHAM AL
35205-1639
US

IV. Provider business mailing address

805 SAINT VINCENTS DR STE 430
BIRMINGHAM AL
35205-1639
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-1250
  • Fax: 205-939-1349
Mailing address:
  • Phone: 205-939-1250
  • Fax: 205-939-1349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number46987
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: