Individual
MICHAEL L SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 HIGHWAY 51 UNIT A, RIDGELAND, MS 39157
(601) 790-7105
(601) 790-7865
Mailing address
201 HIGHWAY 51 UNIT A, RIDGELAND, MS 39157-4425
(601) 790-7105
(601) 790-7865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15970
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122353
—
MS
Enumeration date
08/05/2006
Last updated
07/14/2018
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