Provider Demographics
NPI:1982902698
Name:SANDERS, MONICA LAUREN (DC)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:LAUREN
Last Name:SANDERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 REDFERN VILLAGE
Mailing Address - Street 2:
Mailing Address - City:ST. SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-2537
Mailing Address - Country:US
Mailing Address - Phone:912-268-4277
Mailing Address - Fax:912-268-4289
Practice Address - Street 1:302 REDFERN VILLAGE
Practice Address - Street 2:
Practice Address - City:ST. SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522-2537
Practice Address - Country:US
Practice Address - Phone:912-268-4277
Practice Address - Fax:912-268-4289
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO08780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor