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SABRINA BRAGG RD, LD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1255359352

Individual Registrant:
 SABRINA  BRAGG RD, LD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1400 COMMERCE BLVD  ANNISTON, AL 36207-9451 US
Tel: 256-831-3058  Fax: 256-835-8681

Contact information for business:
130 ANNA RIDGE DR  HEFLIN, AL 36264-1601 US
Tel: 256-831-3058  Fax: 256-835-8681

Registration Information:
NPI: 1255359352
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
AL1510

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS UPIN#09454AL01




HEALTH CARE JOBS AL - Page 1



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