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NPI Code Detail

MEDICARE: DR. ANDREW KENT SANDERSON II M.D.

MEDICARE:  DR. ANDREW KENT SANDERSON II M.D.
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
1207RG0100XGastroenterology PhysicianMD038243DC
2207RG0100XGastroenterology PhysicianA86844CA
3207RG0100XGastroenterology PhysicianMD23735ME
4207RG0100XGastroenterology Physician93132SC

General Provider Information

NPI Number : 1144431552
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW KENT SANDERSON II M.D.
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 888-472-0043
Fax Number : 843-724-2440
Provider Business Practice Location Address
First Line : 125 DOUGHTY ST STE 280
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-5727
Country : US
Telephone Number : 843-720-8369
Fax Number : 843-720-8370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 09/17/2024

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Directions to “ DR. ANDREW KENT SANDERSON II M.D.” Practice Location

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