Sanders, Jennifer
Sanders, Jennifer is an individual health care provider with primary practice located at 101 Hartford Rd W Ste 1 , Fort Gaines GA 39851-4331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sanders, Jennifer can be contacted via phone (229) 210-2100.Contact Information
Primary practice address
101 Hartford Rd W Ste 1
Fort Gaines GA 39851-4331
Phone: (229) 210-2100
Fax: (478) 301-5812
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 003047 | Georgia |
Profile Details
NPI number | 1225031867 |
---|---|
LBN Legal business name | Sanders, Jennifer |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2005 |
Last updated | Nov 23rd, 2020 - about 4 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 | 1225031867 | NPPES |
Georgia | MEDICAID | 00073521G |
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