Individual
MICHAEL D SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4631 SAVANNAH HWY, NORTH, SC 29112
(803) 247-2428
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17688
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198573
UNISON
SC
01
—
0146487
CIGNA
SC
01
—
1548277627
BCBS
SC
01
—
20056902
FIRST CHOICE
SC
01
—
5878065
AETNA
SC
05
—
LL1674
—
SC
Enumeration date
07/24/2006
Last updated
07/11/2012
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