Healthcare Provider Details

I. General information

NPI: 1396586632
Provider Name (Legal Business Name): SARAH BADER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 3RD ST STE 200
GREENSBORO NC
27405-6967
US

IV. Provider business mailing address

930 3RD ST STE 200
GREENSBORO NC
27405-6967
US

V. Phone/Fax

Practice location:
  • Phone: 336-890-3255
  • Fax:
Mailing address:
  • Phone: 336-890-3255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: