Individual
MRS. INGRID DIANE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7091 THOREAU CIR, ATLANTA, GA 30349-7925
(770) 530-7924
Mailing address
7091 THOREAU CIR, ATLANTA, GA 30349-7925
(770) 530-7924
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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