Individual
DR. STACY L SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5740 GETWELL RD. BUILDING 3 UNIT B, SOUTHAVEN, MS 38672
(662) 510-2138
(662) 510-2962
Mailing address
5740 GETWELL RD. BUILDING 3 UNIT B, SOUTHAVEN, MS 38672
(662) 510-2138
(662) 510-2962
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
A0000001385
TN
231H00000X
Audiologist
Primary
A3297
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07038576
—
MS
Enumeration date
12/08/2008
Last updated
07/21/2022
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