Sanders, Pamela J

Sanders, Pamela J is an individual health care provider with primary practice located at 1611 S Jefferson Ave , Cookeville TN 38506-5566. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sanders, Pamela J can be contacted via phone (931) 644-0262.

Contact Information

Primary practice address
1611 S Jefferson Ave Cookeville TN 38506-5566
Fax: (931) 933-7765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD40043 Tennessee

Profile Details

NPI number 1295706356
LBN Legal business name Sanders, Pamela J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Apr 28th, 2023 - about 3 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 1295706356 NPPES
Tennessee MEDICAID 3333752
Tennessee Other 4113655
Tennessee Other 7871682

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