Individual provider · Type 1 NPI

Paul Sanders, PA-C

Military Health Care Provider · Columbia, SC

NPI number 1912095423 Active

Practice location

4500 Stuart St, Moncrief Army Community Hospital/credentials
Columbia, SC 29207-5700

Call (803) 751-2618 Map

Fax (803) 751-2689

Mailing address

4500 Stuart Street, Moncrief Army Hospital, Attn:mcxl-Pq(credentials)
Fort Jackson, SC 29207-5720

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNCCPA#1027537

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1912095423

Paul Sanders, PA-C's National Provider Identifier is 1912095423, issued on Oct 10, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Columbia, SC. The record was last updated on Jul 8, 2007.