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Individual

DR. DONALD M SANDERCOCK II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
401 TOWN CREEK RD E STE 101, LENOIR CITY, TN 37772-5612
(865) 271-6160
(865) 374-1090
Mailing address
401 TOWN CREEK RD E STE 101, LENOIR CITY, TN 37772-5612
(865) 271-6160
(865) 374-1090

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-121694
IL
207X00000X
Orthopaedic Surgery Physician
Primary
1736
TN
207X00000X
Orthopaedic Surgery Physician
5101013131
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q106480
TN
Enumeration date
11/07/2005
Last updated
10/08/2025
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