Provider Demographics
NPI:1275583494
Name:SAUNDERS, TIMOTHY GRAY (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:GRAY
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:704-295-3468
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-295-3468
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC26632207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC000000273192OtherUNISON HEALTH PLAN SC
NC376578OtherMAMSI
NC4068469OtherAETNA
NC1561714003OtherCIGNA
NC1948OtherDOCTORS HEALTH PLAN
SC20061017OtherSELECT HEALTH OF SC
VA6347631Medicaid
SC01152048OtherAMERIGROUP OF SC
NC0841479OtherUNITED HEALTHCARE
SCN26632Medicaid
NC6878OtherPARTNERS
NC10477OtherKANAWHA
NC10579OtherBCBS MEDPOINT
NC141016OtherCOVENTRY
NC74596OtherBCBS
NC11129OtherWELLPATH
NC30343OtherMEDCOST
NC8974596Medicaid
SCN26632Medicaid
180021597Medicare ID - Type UnspecifiedRAILROAD
NC0841479OtherUNITED HEALTHCARE
210169BMedicare ID - Type Unspecified