Sanders, Buddy D.
Sanders, Buddy D. is an individual health care provider with primary practice located at 119 Davis Road Suite 1- B, Martinez GA 30907-0200. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Sanders, Buddy D. can be contacted via phone (706) 869-0071.Contact Information
Primary practice address
119 Davis Road Suite 1- B
Martinez GA 30907-0200
Phone: (706) 869-0071
Fax: (706) 869-0063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 06040351 | Georgia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Georgia | |
| Other Service Providers / Contractor | 171W00000X | TG-BFTS-9712 | Georgia |
| Other Service Providers / Specialist | 174400000X | PD--BFTS-9965 | Georgia |
Profile Details
| NPI number | 1467429126 |
|---|---|
| LBN Legal business name | Sanders, Buddy D. |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | May 27th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467429126 | NPPES |
| Georgia | MEDICAID | 520070811A |
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