Provider Demographics
NPI:1881328565
Name:SANDERS, MELTRESIA D
Entity type:Individual
Prefix:
First Name:MELTRESIA
Middle Name:D
Last Name:SANDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2357 WARM SPRINGS RD STE 138
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-5692
Mailing Address - Country:US
Mailing Address - Phone:334-540-9191
Mailing Address - Fax:
Practice Address - Street 1:2357 WARM SPRINGS RD STE 138
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5692
Practice Address - Country:US
Practice Address - Phone:334-540-9191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant