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Individual

JASON CHASE SANDERS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
165 CLINIC AVE, CARROLLTON, GA 30117-4413
(770) 836-9824
(770) 836-9850
Mailing address
706 DIXIE ST STE 220, CARROLLTON, GA 30117-3889
(770) 838-8710
(770) 812-5735

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
218342
NC
2085R0001X
Radiation Oncology Physician
Primary
88561
GA

Other

Enumeration date
03/31/2016
Last updated
04/28/2021
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