Individual
MR. GREGORY ALAN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 VAIL AVE, SUITE B, CHARLOTTE, NC 28207-1219
(704) 323-2000
Mailing address
4061 PARK RD, STE 300, CHARLOTTE, NC 28209
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0001-01645
NC
Other
Enumeration date
11/28/2005
Last updated
06/04/2010
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