NPI 1912095423

Paul Sanders, PAC

Practitioner Military Health Care Provider Columbia, SC

Practice location

Address: 4500 Stuart St Moncrief Army Community Hospital/Credentials, Columbia, SC 29207-5700
Phone: (803) 751-2618
Fax: (803) 751-2689
Mailing address: 4500 Stuart Street, Moncrief Army Hospital Attn:mcxl-Pq(credentials), Fort Jackson, SC 29207-5720

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence NCCPA#1027537

Other Military Health Care Provider providers in South Carolina →

Registry record

NPI: 1912095423
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2006
Record last updated: 8 Jul 2007

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.