MEDICARE: DR. MARY ANNA SANDERS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	2646	TN

General Provider Information

NPI Number	:	1588984371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ANNA SANDERS DO

Provider Business Mailing Address
First Line	:	PO BOX 2217
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37409-0217
Country	:	US
Telephone Number	:	423-498-2300
Fax Number	:	423-498-2301

Provider Business Practice Location Address
First Line	:	4012 WEST AVE
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37410-1594
Country	:	US
Telephone Number	:	423-498-2300
Fax Number	:	423-498-2301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	02/16/2023

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