Individual
JIMMY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
WAKE FOREST BAPTIST HEALTH SCIENCES, WINSTON SALEM, NC 27157-0001
(336) 716-7398
Mailing address
WAKE FOREST BAPTIST HEALTH SCIENCES, INTERNAL MEDICINE, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
219782
NC
Other
Enumeration date
07/28/2016
Last updated
08/01/2016
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