Individual
GEORGE M. SANDOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8024 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 234-8950
(843) 234-8951
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-8950
(843) 234-6990
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
20125
SC
2084N0400X
Neurology Physician
Primary
20125
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01839335
—
PA
01
—
0504373
PHYSICIANS HEALTH PLAN
SC
01
—
1180501
FIRST HEALTH
SC
05
—
201258
—
SC
01
—
2084681
AETNA HMO NETWORK
SC
01
—
434038
ONE HEALTH PLAN
SC
01
—
540600
FOCUS
SC
01
—
5417704
HEALTHSOURCE/CIGNA
SC
01
—
5787266001
CIGNA
SC
01
—
5960633
AETNA OPEN NETWORK
SC
05
—
7906039
—
NC
01
—
81449
MEDCOST
SC
Enumeration date
05/02/2006
Last updated
11/25/2020
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