Organization
FREDERICK D. SANDERS, MD PC
Active
Other names
Frederick D. Sanders, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN SANDERS (OFFICE MANAGER)
(901) 763-0330
Entity
Organization
Contact information
Practice address
6005 PARK AVE, STE. 510, MEMPHIS, TN 38119-5202
(901) 763-0330
(901) 763-0368
Mailing address
6005 PARK AVE, STE. 510, MEMPHIS, TN 38119-5202
(901) 763-0330
(901) 763-0368
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
012712
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3180918
MEDICARE
—
05
—
3180918
—
TN
Enumeration date
08/22/2007
Last updated
08/22/2007
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