Provider Demographics
NPI:1407622293
Name:GODFREY, SARAH BRADLIE (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BRADLIE
Last Name:GODFREY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 LE HARDY DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-7110
Mailing Address - Country:US
Mailing Address - Phone:706-825-7495
Mailing Address - Fax:
Practice Address - Street 1:2 PARK OF COMMERCE BLVD UNIT D
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-7410
Practice Address - Country:US
Practice Address - Phone:912-777-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor