Individual
BRIDGETTE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA, CPT
Contact information
Practice address
40 CARVER EXTENSION, DUE WEST, SC 29639
(864) 360-1436
Mailing address
12 MOFFATT STREET, PO BOX 2, DUE WEST, SC 29639
(864) 360-1436
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
R6J4M6A6
GA
3747P1801X
Personal Care Attendant
W6Z6Q3P4
GA
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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