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Individual

JOHN D SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9275C MEDICAL PLAZA DR, STE C, CHARLESTON, SC 29406
(843) 797-5667
(843) 569-2215
Mailing address
9275C MEDICAL PLAZA DR, STE C, CHARLESTON, SC 29406
(843) 797-5667
(843) 569-2215

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7176
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
071763
SC
Enumeration date
05/03/2006
Last updated
12/17/2009
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