Individual
ANNIE NICOLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1341 WALTER REED RD, FAYETTEVILLE, NC 28304-4415
(910) 615-3500
Mailing address
7940 ANCON DR, FAYETTEVILLE, NC 28304-0407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13772
NC
363A00000X
Physician Assistant
030688
NY
Other
Enumeration date
09/20/2023
Last updated
05/14/2026
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