Individual
DR. BRIAN PENNER SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2325 LOG CABIN DR SE STE 108, ATLANTA, GA 30339-6742
(770) 648-3462
(770) 796-5148
Mailing address
2325 LOG CABIN DR SE STE 108, ATLANTA, GA 30339-6742
(770) 648-3462
(770) 796-5148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
078731
GA
Other
Enumeration date
03/27/2013
Last updated
04/25/2019
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