Provider Demographics
NPI:1861478166
Name:SAUNDERS, NORMA C (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:C
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 ENTERPRISE DR STE B
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31601-5169
Mailing Address - Country:US
Mailing Address - Phone:229-293-0132
Mailing Address - Fax:
Practice Address - Street 1:348 ENTERPRISE DR STE B
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-5169
Practice Address - Country:US
Practice Address - Phone:229-293-0132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME913002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8815607Medicaid
NJ050658Medicare ID - Type Unspecified
NJ050658RW8Medicare PIN
NJ050658QDXMedicare PIN
NJF54506Medicare UPIN