MEDICARE: MR. MARKEE DIONTA SANDERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	251S00000X	Community/Behavioral Health Agency	NC
2	101Y00000X	Counselor	NC
3	175T00000X	Peer Specialist	NC

General Provider Information

NPI Number	:	1912874546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARKEE DIONTA SANDERS

Provider Business Mailing Address
First Line	:	1115 LILY GREEN CT NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-2300
Country	:	US
Telephone Number	:	336-902-2324
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 LILY GREEN CT NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-2300
Country	:	US
Telephone Number	:	336-902-2324
Fax Number	:

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

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	12/11/2025

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Directions to “ MR. MARKEE DIONTA SANDERS ” Practice Location

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