Sandra Hairston, M.D.
Internal Medicine in Baltimore, MD. Individual provider (NPI-1).
NPI number1790734259
StatusActive
Last updated in NPPESJun 5, 2018
Details
- NPI
- 1790734259
- Entity type
- Individual (NPI-1)
- Name
- Sandra Hairston
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2006
- Last updated
- Jun 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | D35069 | MD | Yes |
Practice location
3100 Wyman Park DrBaltimore, MD 21211
Phone 410-338-3500
Mailing address
9910 Franklin Square DrBaltimore, MD 21236-4902
Phone 410-933-5412
Other practice locations
3100 Wyman Park Dr
Baltimore, MD 21211-2803
Baltimore, MD 21211-2803
Phone 410-338-3500
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