Individual
MATTHEW SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-8090
(901) 545-6809
Mailing address
1640 W DIVISION ST APT 1405, CHICAGO, IL 60622-3942
(412) 216-7572
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4437
TN
Other
Enumeration date
12/21/2019
Last updated
03/03/2021
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