Organization
TIA S SANDERLIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE FERGUSON (OFFICE MANAGER)
(229) 896-7007
Entity
Organization
Contact information
Practice address
707 N PARRISH AVE, ADEL, GA 31620-1521
(229) 896-7007
(229) 896-7627
Mailing address
707 N PARRISH AVE, ADEL, GA 31620-1521
(229) 896-7007
(229) 896-7627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051379
GA
Other
Enumeration date
12/14/2007
Last updated
04/15/2008
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