Paul Sanders, PA-C Valid NPI
Individual provider · Military Health Care Provider · Columbia, SC
- NPI
- 1912095423
- Type
- Individual (Type 1)
- Primary specialty
- Military Health Care Provider
- Specialty group
- Other Service Providers
- Taxonomy code
- 171000000X
- License number
- NCCPA#1027537
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-10
- Last updated
- 2007-07-08
Practice location
4500 Stuart St, Moncrief Army Community Hospital/Credentials
Columbia, SC 29207-5700
(803) 751-2618