Individual
SANDRA M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.CCC-A
Contact information
Practice address
624 QUAKER LN, SUITE 208C, HIGH POINT, NC 27262-3832
(336) 802-2085
(336) 802-2086
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404192
—
NC
01
—
640003894
RR MEDICARE
NC
Enumeration date
07/21/2006
Last updated
06/25/2009
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