Individual
JOAN S SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
450 LANIER AVE WEST, FAYETTEVILLE, GA 30214
(770) 460-8988
(770) 460-0727
Mailing address
450 LANIER AVE WEST, FAYETTEVILLE, GA 30214
(770) 460-8988
(770) 460-0727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003611
GA
Other
Enumeration date
11/30/2005
Last updated
05/22/2019
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