Provider Demographics
NPI:1679638761
Name:DR. DAREN W. SANCHEZ, INC.
Entity Type:Organization
Organization Name:DR. DAREN W. SANCHEZ, INC.
Other - Org Name:BAYTREE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAREN
Authorized Official - Middle Name:WENDELL
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:229-249-9111
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:229-249-9111
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:229-249-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005585111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty