Healthcare Provider Details

I. General information

NPI: 1780278598
Provider Name (Legal Business Name): SANDRA JEAN DUNN ANDERSON DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3961 COLUMBIA RD UNIT B
MARTINEZ GA
30907-2219
US

IV. Provider business mailing address

3961 COLUMBIA RD UNIT B
MARTINEZ GA
30907-2219
US

V. Phone/Fax

Practice location:
  • Phone: 706-432-1141
  • Fax:
Mailing address:
  • Phone: 706-432-1141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR010500
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: