Provider Demographics
NPI:1003981747
Name:SAUNDERS, CAROL ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANNE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 E CHESTNUT ST
Mailing Address - Street 2:DEPT OF PATHOLOGY
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5717
Mailing Address - Country:US
Mailing Address - Phone:207-626-1409
Mailing Address - Fax:207-626-1046
Practice Address - Street 1:6 E CHESTNUT ST
Practice Address - Street 2:DEPT OF PATHOLOGY
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5717
Practice Address - Country:US
Practice Address - Phone:207-626-1409
Practice Address - Fax:207-626-1046
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015195207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME042902OtherANTHEM
ME293920099Medicaid
MEM5774OtherCIGNA
ME3965397OtherAETNA
MEM5774OtherCIGNA
MEH04477Medicare UPIN
ME220030482Medicare PIN