Sanders, Buddy D.

Sanders, Buddy D. is an individual health care provider with primary practice located at 119 Davis Road Suite 1- B, Martinez GA 30907-0200. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Sanders, Buddy D. can be contacted via phone (706) 869-0071.

Contact Information

Primary practice address
119 Davis Road Suite 1- B Martinez GA 30907-0200
Phone: (706) 869-0071
Fax: (706) 869-0063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 06040351 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Georgia
Other Service Providers / Contractor 171W00000X TG-BFTS-9712 Georgia
Other Service Providers / Specialist 174400000X PD--BFTS-9965 Georgia

Profile Details

NPI number 1467429126
LBN Legal business name Sanders, Buddy D.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated May 27th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467429126 NPPES
Georgia MEDICAID 520070811A

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