Individual
CARLINE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 ROBERTS CT NW, KENNESAW, GA 30144-4941
(678) 398-9539
Mailing address
520 TUSCAN CV, FAIRBURN, GA 30213-7940
(404) 953-0001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
10/22/2021
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