Provider Demographics
NPI:1114216454
Name:ZEIGLER, SANFORD MANNING (MD)
Entity Type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:MANNING
Last Name:ZEIGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 OAKMONT LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2621
Mailing Address - Country:US
Mailing Address - Phone:803-530-7462
Mailing Address - Fax:
Practice Address - Street 1:96 JONATHAN LUCAS ST # 295
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-2200
Practice Address - Country:US
Practice Address - Phone:843-876-4842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122514208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)