Healthcare Provider Details

I. General information

NPI: 1881142099
Provider Name (Legal Business Name): SHERI L KORBY M.S. F-AAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2016
Last Update Date: 05/28/2021
Certification Date: 05/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 WILLIAMS AVE SW STE 1111
HUNTSVILLE AL
35801-6087
US

IV. Provider business mailing address

13212 COVINGTON DR
ATHENS AL
35613-8391
US

V. Phone/Fax

Practice location:
  • Phone: 256-536-7405
  • Fax: 256-536-7416
Mailing address:
  • Phone: 256-431-5481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1174A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: