MEDICARE: SARAH E AULTMAN M.D.

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	207V00000X	Obstetrics & Gynecology Physician	MD.32295	AL

General Provider Information

NPI Number	:	1245469709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH E AULTMAN M.D.

Provider Business Mailing Address
First Line	:	2006 BROOKWOOD MEDICAL CTR DR
Second Line	:	WOMEN'S MEDICAL PLAZA SUITE 302
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-6899
Country	:	US
Telephone Number	:	205-877-2883
Fax Number	:

Provider Business Practice Location Address
First Line	:	2006 BROOKWOOD MEDICAL CTR DR
Second Line	:	WOMEN'S MEDICAL PLAZA SUITE 302
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-6899
Country	:	US
Telephone Number	:	205-877-2883
Fax Number	:

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

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	07/16/2013

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