Provider Demographics
NPI:1306964622
Name:SANDERS-CLIETTE, ANGELA PAULETTE (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:PAULETTE
Last Name:SANDERS-CLIETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:309 N RIVERDALE DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-2071
Mailing Address - Country:US
Mailing Address - Phone:919-383-0175
Mailing Address - Fax:
Practice Address - Street 1:2039 WILLOW SPRING LN
Practice Address - Street 2:C
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8854
Practice Address - Country:US
Practice Address - Phone:336-222-7566
Practice Address - Fax:336-436-6125
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94-00141207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology