Healthcare Provider Details

I. General information

NPI: 1720249097
Provider Name (Legal Business Name): SARAH LINDSAY PROPHET FREDERICK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY PROPHET FREDERICK M.D.

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 GOODYEAR AVE STE 302B
GADSDEN AL
35903-1194
US

IV. Provider business mailing address

1026 GOODYEAR AVE STE 302B
GADSDEN AL
35903-1194
US

V. Phone/Fax

Practice location:
  • Phone: 256-485-0899
  • Fax: 866-265-9563
Mailing address:
  • Phone: 256-485-0899
  • Fax: 866-265-9563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number29899
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: