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NPI Code Detail

MEDICARE: GRANT THOMAS SANDERS DO

MEDICARE: GRANT THOMAS 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134061625
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRANT THOMAS SANDERS DO
Provider Business Mailing Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-671-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ GRANT THOMAS SANDERS DO” Practice Location

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