Individual
DANNY LOUIS SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4381 S EASON BLVD, SUITE 202, TUPELO, MS 38801-6583
(662) 377-6470
(662) 377-6475
Mailing address
454 E PRESIDENT AVE, TUPELO, MS 38801-5501
(662) 377-6470
(662) 377-6470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16481
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051022
—
MS
Enumeration date
01/27/2006
Last updated
06/27/2012
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