Provider Demographics
NPI:1225475700
Name:SANDERS, MORGAN EVANS (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:EVANS
Last Name:SANDERS
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6239 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:EASTMAN
Mailing Address - State:GA
Mailing Address - Zip Code:31023-3425
Mailing Address - Country:US
Mailing Address - Phone:478-231-2948
Mailing Address - Fax:
Practice Address - Street 1:6239 LAUREL LN
Practice Address - Street 2:
Practice Address - City:EASTMAN
Practice Address - State:GA
Practice Address - Zip Code:31023-3425
Practice Address - Country:US
Practice Address - Phone:478-231-2948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003950133V00000X
GA01063684133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered