Provider Demographics
NPI:1598179632
Name:SAUNDERS, MITCHELL (DC)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:
Last Name:SAUNDERS
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 1:707 BOLL WEEVIL CIR
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-2036
Mailing Address - Country:US
Mailing Address - Phone:334-308-2225
Mailing Address - Fax:334-348-1516
Practice Address - Street 1:707 BOLL WEEVIL CIR
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2036
Practice Address - Country:US
Practice Address - Phone:334-308-2225
Practice Address - Fax:334-348-1516
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor