Individual
JEFFREY SANDS LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1804 WILLIAMSON CT, SUITE 208, BRENTWOOD, TN 37027-8170
(615) 690-6600
(615) 690-6604
Mailing address
1804 WILLIAMSON CT, SUITE 208, BRENTWOOD, TN 37027-8170
(615) 690-6600
(615) 690-6604
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0000026575
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4096252
TENNCARE SELECT
TN
Enumeration date
10/26/2006
Last updated
06/01/2011
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