Provider Demographics
NPI:1316173347
Name:MOTORNY, SARAH A (DO)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:MOTORNY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:687 LONG HOLLOW PIKE
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3450
Mailing Address - Country:US
Mailing Address - Phone:515-822-1320
Mailing Address - Fax:515-282-2332
Practice Address - Street 1:687 LONG HOLLOW PIKE
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3450
Practice Address - Country:US
Practice Address - Phone:515-822-1320
Practice Address - Fax:515-282-2332
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-R-8664207Q00000X
TNDO2537207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine