Individual
DR. PAUL ANDREWS SANSBURY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, EMERGENCY CENTER, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
PO BOX 277700, ATLANTA, GA 30384-7700
(440) 717-6600
(440) 546-8381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103603
—
SC
01
—
189218
MEDCOST
SC
01
—
20051880
SELECT HEALTH
SC
05
—
5803803
—
NC
01
—
7499174
AETNA
SC
Enumeration date
01/19/2006
Last updated
10/21/2010
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