Provider Demographics
NPI:1518994441
Name:SAUNDERS, R. CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:R.
Middle Name:CRAIG
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RALPH
Other - Middle Name:CRAIG
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:421 SEWELL DR
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-1223
Mailing Address - Country:US
Mailing Address - Phone:931-738-4395
Mailing Address - Fax:931-738-4330
Practice Address - Street 1:423 SEWELL DR
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-1223
Practice Address - Country:US
Practice Address - Phone:931-738-9333
Practice Address - Fax:931-738-9340
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2779207X00000X
TNMD49189207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX376710000OtherDEPARTMENT OF LABOR
TX88581XOtherBLUE CROSS BLUE SHIELD
TX376710000OtherDEPARTMENT OF LABOR
TX88581XOtherBLUE CROSS BLUE SHIELD
E57504Medicare UPIN