Provider Demographics
NPI:1417177486
Name:SANDER, MARGIE CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:MARGIE
Middle Name:CATHERINE
Last Name:SANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1717 LEGION RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2396
Mailing Address - Country:US
Mailing Address - Phone:919-932-1171
Mailing Address - Fax:919-933-1377
Practice Address - Street 1:5716 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9661
Practice Address - Country:US
Practice Address - Phone:919-572-1862
Practice Address - Fax:919-361-0762
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2015-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200900501207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine