Russ Sanders's National Provider Identifier (NPI) Details
Russ Sanders, L.P.C.
NPI: 1104100437
Enumeration Date: 2011-10-05
Last updated: 2011-10-05
Sole Proprietor: YES
Status: active
Postal Address: 1902 MACY DR, ROSWELL, GA
Phone: 706-498-0323
Primary Practice Address: 1902 MACY DR, ROSWELL, GA
Practice's phone: 706-498-0323