Healthcare Provider Details
I. General information
NPI: 1740452176
Provider Name (Legal Business Name): SARAH L BOXLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/26/2008
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
508 GREGORY ST
SCOTTSBORO AL
35768-4239
US
IV. Provider business mailing address
2409 HOMER CLAYTON DR
GUNTERSVILLE AL
35976-2207
US
V. Phone/Fax
- Phone: 256-259-1774
- Fax: 256-259-0761
- Phone: 256-582-3203
- Fax: 256-582-3216
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 20797 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | MD20747 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: