Individual
SANDRA RENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 17TH ST, COLUMBUS, GA 31901-2029
(706) 507-0500
(706) 507-0566
Mailing address
1425 17TH ST, COLUMBUS, GA 31901-2029
(706) 507-0500
(706) 507-0566
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/21/2011
Last updated
06/28/2011
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