Individual
DR. PAMELA J SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 S JEFFERSON AVE, COOKEVILLE, TN 38506-5566
(931) 644-0262
(931) 933-7765
Mailing address
1611 S JEFFERSON AVE, COOKEVILLE, TN 38506-5566
(931) 644-4026
(931) 933-7765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD40043
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3333752
—
TN
01
—
4113655
BCBST
—
01
—
7871682
AETNA
—
Enumeration date
01/27/2006
Last updated
04/28/2023
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