Individual
DR. JASON B SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1132 N CHURCH ST, GREENSBORO, NC 27401-1039
(336) 369-7100
(336) 369-7101
Mailing address
1132 N CHURCH ST, GREENSBORO, NC 27401-1039
(336) 369-7100
(336) 369-7101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NC 2005-00329
NC
174400000X
Specialist
SC TL27619
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140NW
BCBS
NC
01
—
32567
CIGNA
NY
05
—
5901630
—
NC
01
—
7521438
AETNA
NC
01
—
806691
COMMUNITY EYE CARE
NC
01
—
E333650310
MECOST
NC
01
—
P00230758
RAILROAD MEDICARE
—
Enumeration date
03/14/2006
Last updated
06/09/2015
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