Individual
SARA E WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7101 US HIGHWAY 90 STE 102, DAPHNE, AL 36526-9510
(251) 278-6022
(251) 278-3930
Mailing address
7101 US HIGHWAY 90 STE 102, DAPHNE, AL 36526-9510
(251) 278-6022
(251) 278-3930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.650
AL
363AM0700X
Medical Physician Assistant
PA 650
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-66478
BC OF AL PROVIDER NUMBER
AL
Enumeration date
09/25/2007
Last updated
11/30/2022
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