Individual
SUSAN DAWNE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2986 KATE BOND RD, BARTLETT, TN 38133-4003
(901) 359-5168
Mailing address
1829 SLOCUM RD, HERNANDO, MS 38632-8784
(901) 359-5168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
905485
MS
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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