Provider Demographics
NPI:1730360181
Name:CORNELIUS-SANDERS, MELANI P (MD)
Entity type:Individual
Prefix:DR
First Name:MELANI
Middle Name:P
Last Name:CORNELIUS-SANDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MELANI
Other - Middle Name:P
Other - Last Name:CORNELIUS-SANDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:115 EAGLE SPRINGS DRIVE
Mailing Address - Street 2:200A
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6486
Mailing Address - Country:US
Mailing Address - Phone:770-474-0064
Mailing Address - Fax:770-474-2998
Practice Address - Street 1:115 EAGLE SPRINGS DRIVE
Practice Address - Street 2:200A
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6486
Practice Address - Country:US
Practice Address - Phone:770-474-0064
Practice Address - Fax:770-474-2998
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA64016207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology