Individual
RANDAL JARED SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7886
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL33800
SC
Other
Enumeration date
03/21/2011
Last updated
06/28/2012
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