Individual
DIANA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
Mailing address
345 DEEP RIVER RD, SUMMERVILLE, SC 29486-5382
(843) 333-0355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242107
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
32131
SC
Other
Enumeration date
01/08/2024
Last updated
06/17/2026
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