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NPI Code Detail

MEDICARE: MS. CARLA SAUNDERS PA-C

MEDICARE: MS. CARLA SAUNDERS PA-C
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1629359534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARLA SAUNDERS PA-C
Provider Business Mailing Address
First Line : 97 GREAT TEAYS BLVD STE 6
Second Line :
City : SCOTT DEPOT
State : WV
Zip : 25560-9816
Country : US
Telephone Number : 304-757-6999
Fax Number :
Provider Business Practice Location Address
First Line : 3109 TEAYS VALLEY RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-1318
Country : US
Telephone Number : 304-760-6336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 07/24/2023

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