Jennifer M Sanderson, DO
Anesthesiology in Lagrange, GA. Individual provider (NPI-1).
NPI number1871593582
StatusActive
Last updated in NPPESJun 22, 2010
Details
- NPI
- 1871593582
- Entity type
- Individual (NPI-1)
- Name
- Jennifer M Sanderson
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2005
- Last updated
- Jun 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 053028 | GA | Yes |
Practice location
1805 Vernon Rd Ste CLagrange, GA 30240-4041
Phone 706-812-9902 · Fax 706-812-0802
Mailing address
1805 Vernon Rd Ste CLagrange, GA 30240-4041
Phone 706-812-9902
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