Individual
DAVENA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9556 TARA BLVD, SUITE 400, JONESBORO, GA 30236-6037
(678) 610-1933
(678) 610-1633
Mailing address
6015 FAYETTEVILLE RD, SUITE 211, DURHAM, NC 27713-6254
(919) 323-8081
(919) 572-0004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125129
GA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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