Healthcare Provider Details

I. General information

NPI: 1316794803
Provider Name (Legal Business Name): ALEXANDER SABOL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 HOSPITAL DR BLDG A
MACON GA
31217-8001
US

IV. Provider business mailing address

5504 LINCOLN ST
BETHESDA MD
20817-3724
US

V. Phone/Fax

Practice location:
  • Phone: 478-751-0463
  • Fax: 478-751-0442
Mailing address:
  • Phone: 301-908-3595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number113558
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: