NPI 1225276272

Michael Bernard Sanders, MASTERCOSMETOLOGIST

Practitioner Prosthetist Albany, GA

Practice location

Address: 326 Enterprise Dr., Albany, GA 31705
Phone: (229) 291-0015

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CO087251 (GA)

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Registry record

NPI: 1225276272
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2009
Record last updated: 29 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.