Individual
ALVIN SANDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1700 TREE LN STE 190, SNELLVILLE, GA 30078-6766
(205) 683-5571
Mailing address
19 COLLEGE ST UNIT 263, AUBURN, GA 30011-4303
(770) 601-3108
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN260312
GA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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