Sanderson, Alicia Ruth

Sanderson, Alicia Ruth is an individual health care provider with primary practice located at 620 Singleton Ridge Rd , Conway SC 29526-9154. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is her primary health care specialty. Sanderson, Alicia Ruth can be contacted via phone (843) 347-7300.

Contact Information

Primary practice address
620 Singleton Ridge Rd Conway SC 29526-9154
Phone: (843) 347-7300
Fax: (843) 347-8459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 87204 South Carolina
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 87204 South Carolina
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 87204 South Carolina
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 0101263595 Virginia

Profile Details

NPI number 1578531919
LBN Legal business name Sanderson, Alicia Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Aug 2nd, 2022 - about 2 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 1578531919 NPPES
South Carolina MEDICAID 872041

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