Sanderson, Alice Mary

Sanderson, Alice Mary is an individual health care provider with primary practice located at 110 Carlton St , Athens GA 30602-5004. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Sanderson, Alice Mary can be contacted via phone (706) 542-2371.

Contact Information

Primary practice address
110 Carlton St Athens GA 30602-5004
Phone: (706) 542-2371
Fax: (706) 542-4574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1681 Georgia

Profile Details

NPI number 1740292101
LBN Legal business name Sanderson, Alice Mary
Credentials CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 9th, 2007 - about 16 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 1740292101 NPPES
Georgia MEDICAID 00826141A

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