NPI 1871593582
Jennifer M Sanderson, DO
Practice location
- Address
- 1805 Vernon Rd STE C, Lagrange, GA 30240-4041
- Phone
- (706) 812-9902
- Fax
- (706) 812-0802
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1871593582
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jul 2005
- Record last updated
- 22 Jun 2010
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.