Individual
BLAKE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
413 WEST THIRD AVENUE, ALBANY, GA 31701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
105368
GA
Other
Enumeration date
04/08/2022
Last updated
11/13/2025
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