Individual
RODNEY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
777 HEMLOCK ST, HB 64, MACON, GA 31201-2102
(478) 633-2097
(478) 633-7836
Mailing address
PO BOX 2505, ROBERTA, GA 31078-2505
(478) 836-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004321
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097396494B
—
GA
Enumeration date
08/08/2006
Last updated
07/08/2007
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