Sanders, Susan C

Sanders, Susan C is an individual health care provider with primary practice located at 335 Penny Ln , Concord NC 28025-1221. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Sanders, Susan C can be contacted via phone (704) 784-5901.

Contact Information

Primary practice address
335 Penny Ln Concord NC 28025-1221
Phone: (704) 784-5901
Fax: (704) 721-0413
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34216 North Carolina
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 34216 North Carolina

Profile Details

NPI number 1730165069
LBN Legal business name Sanders, Susan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Feb 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730165069 NPPES
North Carolina MEDICAID 8921464
North Carolina Other 110081554

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