Individual
FLOYD STUART SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 ADAMS DR, DEMOREST, GA 30535-4501
(706) 754-5191
(706) 754-1725
Mailing address
PO BOX 909, CLARKESVILLE, GA 30523-0016
(706) 754-5191
(706) 754-1725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26375
GA
207RS0010X
Sports Medicine (Internal Medicine) Physician
26375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00300605D
—
GA
01
—
110104731
RAILROAD MEDICARE
GA
01
—
11BDHSR
MEDICARE PTAN
GA
01
—
336039
WELLCARE
GA
Enumeration date
10/11/2006
Last updated
11/05/2025
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