Healthcare Provider Details

I. General information

NPI: 1568938579
Provider Name (Legal Business Name): SANATIO HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 HILLYER ROBINSON INDUSTRIAL PKWY S
OXFORD AL
36203-1305
US

IV. Provider business mailing address

1622 HILLYER ROBINSON INDUSTRIAL PKWY S
OXFORD AL
36203-1305
US

V. Phone/Fax

Practice location:
  • Phone: 256-419-0805
  • Fax: 256-419-0812
Mailing address:
  • Phone: 256-419-0805
  • Fax: 256-419-0812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRANDI NICOLE MEADS
Title or Position: OWNER
Credential: CRNP
Phone: 256-419-0805