Paul Sanders in Fort Jackson - Military Health Care Provider
Paul Sanders - NPI 1912095423
Paul Sanders is a Military Health Care Provider in Fort Jackson, South Carolina. Paul Sanders practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Paul Sanders is 1912095423. The last update date is 2007-07-08.
Paul Sanders's current location address is 4500 Stuart Street, Moncrief Army Hospital, Fort Jackson, South Carolina. You can contact this provider via phone number 8037512618 and fax number 8037512689. The mailing address for Paul Sanders is 4500 Stuart Street, Moncrief Army Hospital, Fort Jackson, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Sanders |
|---|---|
| Address | 4500 Stuart Street, Moncrief Army Hospital, Fort Jackson, South Carolina |
| Phone Number | 8037512618 |
| Fax Number | 8037512689 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1912095423 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4500 Stuart Street, Moncrief Army Hospital |
|---|---|
| City | Fort Jackson |
| State | South Carolina (SC) |
| Post Code | 292075720 |
| Phone Number | 8037512618 |
| Fax Number | 8037512689 |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | NCCPA#102753 |
|
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul Sanders by the Centers for Medicare & Medicaid Services?
The Paul Sanders has been issued the NPI (National Provider Identifier) 1912095423, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Paul Sanders's physical address?
The Paul Sanders is physically located at 4500 Stuart Street, Moncrief Army Hospital, in the city of Fort Jackson, SC, with the postal code 292075720.
What is Paul Sanders's specialized field of practice, and what is the corresponding taxonomy classification code?
The Paul Sanders's area of specialization is Military Health Care Provider, and the corresponding taxonomy code that categorizes this field of practice is 171000000X.
On what date did the Paul Sanders receive the assignment of its 1912095423 from the Centers for Medicare & Medicaid Services?
The Paul Sanders was issued its 1912095423 by the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the information regarding Paul Sanders, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Sanders, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.