Individual
DR. SANDERS MOMPREMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CRESCENT CENTER PKWY, TUCKER, GA 30084-7047
(404) 365-0966
(770) 496-3708
Mailing address
5011 OAK TREE LN, STONE MOUNTAIN, GA 30087-3289
(404) 849-2839
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
53501
GA
Other
Enumeration date
03/30/2007
Last updated
10/20/2023
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