Individual
DR. ERNEST LENWOOD SANDERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2949 NEW BERN AVE, SUITE 108, RALEIGH, NC 27610-1248
(919) 231-4454
(919) 231-4456
Mailing address
2949 NEW BERN AVE, SUITE 108, RALEIGH, NC 27610-1248
(919) 231-4454
(919) 231-4456
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
29659
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74451
BLUE CROSS BLUE SHIELD
NC
05
—
8974451
—
NC
Enumeration date
01/15/2007
Last updated
07/08/2007
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