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Individual

DAN S SANDERS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 20TH AVE N, SUITE 100, NASHVILLE, TN 37203-2131
(615) 340-4731
(615) 340-4729
Mailing address
PO BOX 2315, SKYLAND, NC 28776-2315
(828) 575-2644
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12279
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103I032230
MEDICARE PTAN
TN
Enumeration date
08/08/2007
Last updated
11/16/2015
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