Individual
MARGIE DIANNE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 E GROVER ST, SHELBY, NC 28150-3919
(704) 484-5100
Mailing address
1408 VANTAGE DR, SHELBY, NC 28150-9241
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100086
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100086
STATE LICENSE
NC
Enumeration date
02/21/2007
Last updated
07/08/2007
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