Provider Demographics
NPI:1730316902
Name:FLETCHER, SARAH ELDER (DPM)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELDER
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:WINFIELD
Other - Last Name:ELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:1900 10TH AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901
Mailing Address - Country:US
Mailing Address - Phone:706-323-6914
Mailing Address - Fax:706-596-1281
Practice Address - Street 1:1900 10TH AVE
Practice Address - Street 2:STE 120
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901
Practice Address - Country:US
Practice Address - Phone:706-323-6914
Practice Address - Fax:706-596-1281
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2018-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD001370213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist