Sanders, Michael D.

Sanders, Michael D. is an individual health care provider with primary practice located at 1285 Hembree Rd Suite 200A, Roswell GA 30076-5720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sanders, Michael D. can be contacted via phone (770) 475-2710.

Contact Information

Primary practice address
1285 Hembree Rd Suite 200A Roswell GA 30076-5720
Phone: (770) 475-2710
Fax: (770) 360-0498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006454 Georgia

Profile Details

NPI number 1205198603
LBN Legal business name Sanders, Michael D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jan 25th, 2017 - about 9 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 1205198603 NPPES
Georgia MEDICAID 003125289A
Georgia MEDICAID 003125289C

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