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NPI Code Detail

MEDICARE: DEMETHIA MICHELLE SACUS

MEDICARE:   DEMETHIA MICHELLE SACUS
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
1163W00000XRegistered Nurse1-184023AL

General Provider Information

NPI Number : 1699601476
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMETHIA MICHELLE SACUS
Provider Business Mailing Address
First Line : 5900 AIR PARK CIR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35215-1069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5900 AIR PARK CIR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35215-1069
Country : US
Telephone Number : 256-525-1355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2026
Last Update Date : 06/20/2026

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Directions to “ DEMETHIA MICHELLE SACUS ” Practice Location

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