Individual
DR. JERRY EARL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 AGAWELA AVE, KNOXVILLE, TN 37919-8319
(865) 632-5095
Mailing address
137 E BLOUNT AVE, KNOXVILLE, TN 37920-1629
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 8040
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 8040
STATE LICENSE
TN
Enumeration date
10/18/2006
Last updated
07/09/2007
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