Individual
ANDREW SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4720 WASHINGTON RD, EVANS, GA 30809-5875
(706) 650-0111
(706) 651-1882
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30876
GA
207R00000X
Internal Medicine Physician
MD38104
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
30876
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC8196E696
PALMETTO GBA
SC
Enumeration date
05/19/2006
Last updated
11/28/2018
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