Provider Demographics
NPI:1306024237
Name:SANCHEZ, DAREN W (DC)
Entity Type:Individual
Prefix:DR
First Name:DAREN
Middle Name:W
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 BAYTREE RD
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2731
Mailing Address - Country:US
Mailing Address - Phone:229-249-9111
Mailing Address - Fax:
Practice Address - Street 1:1212 BAYTREE RD
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2731
Practice Address - Country:US
Practice Address - Phone:229-249-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5585111N00000X
GACHIR005585111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor