MEDICARE: DR. RICHARD ANTHONY SANCES II MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD0000030976	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4108681	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1124097050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ANTHONY SANCES II MD

Provider Business Mailing Address
First Line	:	PO BOX 30309
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29417-0309
Country	:	US
Telephone Number	:	843-554-9300
Fax Number	:	843-566-8780

Provider Business Practice Location Address
First Line	:	501 19TH ST
Second Line	:	SUITE 301
City	:	KNOXVILLE
State	:	TN
Zip	:	37916-1854
Country	:	US
Telephone Number	:	865-522-7591
Fax Number	:	865-546-2618

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/19/2015

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