Individual
DR. HENRY JOHN SANDERS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
822 DELAWARE AVE, MCCOMB, MS 39648-3824
(601) 684-0220
(601) 684-5573
Mailing address
822 DELAWARE AVE, MCCOMB, MS 39648-3824
(601) 684-0220
(601) 684-5573
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18847
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02984016
—
MS
Enumeration date
10/11/2006
Last updated
03/25/2008
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