Sanders, Jennifer

Sanders, Jennifer is an individual health care provider with primary practice located at 101 Hartford Rd W Ste 1 , Fort Gaines GA 39851-4331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sanders, Jennifer can be contacted via phone (229) 210-2100.

Contact Information

Primary practice address
101 Hartford Rd W Ste 1 Fort Gaines GA 39851-4331
Phone: (229) 210-2100
Fax: (478) 301-5812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003047 Georgia

Profile Details

NPI number 1225031867
LBN Legal business name Sanders, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 23rd, 2020 - about 6 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 1225031867 NPPES
Georgia MEDICAID 00073521G

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