Individual
SANFORD ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
011051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023372C
—
GA
05
—
00023372B
—
GA
01
—
1891734463
MEDICARE RAILROAD
GA
01
—
450081
BLUE CROSS BLUE SHIELD
GA
01
—
511G701032
MEDICARE GROUP
GA
01
—
582023987006
CHAMPUS
—
01
—
GPA977
MEDICAID GRP. SAV
SC
Enumeration date
06/06/2006
Last updated
07/21/2017
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