Provider Demographics
NPI:1932738440
Name:SAUNDERS, CASSANDRA (DO)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 GULLIVER ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN INN
Mailing Address - State:SC
Mailing Address - Zip Code:29644-1919
Mailing Address - Country:US
Mailing Address - Phone:828-448-5810
Mailing Address - Fax:
Practice Address - Street 1:23265 HIGHWAY 76 E
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7532
Practice Address - Country:US
Practice Address - Phone:864-547-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC89899208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics