Healthcare Provider Details

I. General information

NPI: 1881563195
Provider Name (Legal Business Name): SARAH GRACE HIGHTOWER HEIDEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 MERIDIAN ST N SUITE 130, BUCHANAN HALL
NORMAL AL
35762
US

IV. Provider business mailing address

2500 BRIARHURST CT NW
HUNTSVILLE AL
35810-4487
US

V. Phone/Fax

Practice location:
  • Phone: 256-372-5000
  • Fax:
Mailing address:
  • Phone: 470-825-7235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: