Provider Demographics
NPI:1467823609
Name:COOK, SARAH (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:COOK
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 1:130 LOG CABIN RD NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-0917
Mailing Address - Country:US
Mailing Address - Phone:478-457-0003
Mailing Address - Fax:478-457-0053
Practice Address - Street 1:130 LOG CABIN RD NE
Practice Address - Street 2:SUITE B
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-0917
Practice Address - Country:US
Practice Address - Phone:478-457-0003
Practice Address - Fax:478-457-0053
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009389111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor