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NPI Code Detail

MEDICARE: JERRY ALLEN SAUNDERS MD

MEDICARE: JERRY ALLEN SAUNDERS 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
1207R00000XInternal Medicine Physician2015-00670NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306137526
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY ALLEN SAUNDERS MD
Provider Business Mailing Address
First Line : 3607 BEATTIES FORD RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-3249
Country : US
Telephone Number : 704-394-8968
Fax Number : 704-394-8967
Provider Business Practice Location Address
First Line : 3607 BEATTIES FORD RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-3249
Country : US
Telephone Number : 704-394-8968
Fax Number : 704-394-8967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2011
Last Update Date : 01/06/2026

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