Provider Demographics
NPI:1205939782
Name:SANDLAND, HELEN (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:SANDLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 W 7TH NORTH ST
Mailing Address - Street 2:STE. F
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3954
Mailing Address - Country:US
Mailing Address - Phone:423-587-9948
Mailing Address - Fax:423-587-9828
Practice Address - Street 1:619 W 7TH NORTH ST
Practice Address - Street 2:STE. F
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3954
Practice Address - Country:US
Practice Address - Phone:423-587-9948
Practice Address - Fax:423-587-9828
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41910207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3000319Medicaid
TN3000319Medicare PIN
TN3000319Medicaid