Provider Demographics
NPI:1669534962
Name:SANDLER, STUART A (DO)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:A
Last Name:SANDLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:827 OLANTA HWY
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:SC
Mailing Address - Zip Code:29541-6547
Mailing Address - Country:US
Mailing Address - Phone:352-428-9336
Mailing Address - Fax:843-777-9704
Practice Address - Street 1:3257 GENERAL WILLIAM W DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-8231
Practice Address - Country:US
Practice Address - Phone:843-777-1290
Practice Address - Fax:843-777-9704
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC51287207Q00000X, 2083X0100X
IN02004051A2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine