MEDICARE: SARA FRESE PATTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	46987	AL

General Provider Information

NPI Number	:	1023645926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA FRESE PATTON MD

Provider Business Mailing Address
First Line	:	805 SAINT VINCENTS DR STE 430
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1639
Country	:	US
Telephone Number	:	205-939-1250
Fax Number	:	205-939-1349

Provider Business Practice Location Address
First Line	:	805 SAINT VINCENTS DR STE 430
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1639
Country	:	US
Telephone Number	:	205-939-1250
Fax Number	:	205-939-1349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	03/26/2026

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