Provider Demographics
NPI:1144431552
Name:SANDERSON, ANDREW KENT II (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:KENT
Last Name:SANDERSON
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:888-472-0043
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:125 DOUGHTY ST STE 280
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-5727
Practice Address - Country:US
Practice Address - Phone:843-720-8369
Practice Address - Fax:843-720-8370
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2024-09-17
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Provider Licenses
StateLicense IDTaxonomies
DCMD038243207RG0100X
CAA86844207RG0100X
MEMD23735207RG0100X
SC93132207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology