Jennifer M Sanderson, DO | |
1805 Vernon Rd Ste C, Lagrange, GA 30240-4041 | |
(706) 812-9902 | |
(706) 812-0802 |
Full Name | Jennifer M Sanderson |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 1805 Vernon Rd Ste C, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871593582 | NPI | - | NPPES |
494310324A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 053028 (Georgia) | Primary |
Entity Name | Emory Specialty Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
---|---|
Jennifer M Sanderson, DO 1805 Vernon Rd Ste C, Lagrange, GA 30240-4041 Ph: (706) 812-9902 | Jennifer M Sanderson, DO 1805 Vernon Rd Ste C, Lagrange, GA 30240-4041 Ph: (706) 812-9902 |
Jung H Ahn, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |
Dr. Deborah A Simmons, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1805 Vernon Rd, Suite C, Lagrange, GA 30240 Phone: 706-812-9902 Fax: 706-812-0802 | |
Davin Mitchell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy, Ste 100, Lagrange, GA 30241 Phone: 706-593-3256 Fax: 706-443-5275 |