Sanderlin, Charles W

Sanderlin, Charles W is an individual health care provider with primary practice located at 3527 N Valdosta Rd , Valdosta GA 31602-1068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sanderlin, Charles W can be contacted via phone (229) 247-2290.

Contact Information

Primary practice address
3527 N Valdosta Rd Valdosta GA 31602-1068
Fax: (229) 244-2626
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 051543 Georgia

Profile Details

NPI number 1083618052
LBN Legal business name Sanderlin, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Mar 23rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083618052 NPPES
Florida MEDICAID 265002900
Florida Other GRP1215
Florida MEDICAID 00954445A

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