Provider Demographics
NPI:1588984371
Name:SANDERS, MARY ANNA (DO)
Entity type:Individual
Prefix:DR
First Name:MARY ANNA
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2217
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37409-0217
Mailing Address - Country:US
Mailing Address - Phone:423-498-2300
Mailing Address - Fax:423-498-2301
Practice Address - Street 1:4012 WEST AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37410-1594
Practice Address - Country:US
Practice Address - Phone:423-498-2300
Practice Address - Fax:423-498-2301
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2646207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology