Provider Demographics
NPI:1962764407
Name:SANDLER-WILSON, CARLA LEIGH (MD)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:LEIGH
Last Name:SANDLER-WILSON
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 1:2201 MURPHY AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1954
Mailing Address - Country:US
Mailing Address - Phone:615-342-4660
Mailing Address - Fax:615-342-4662
Practice Address - Street 1:2201 MURPHY AVE STE 207
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1954
Practice Address - Country:US
Practice Address - Phone:615-342-4660
Practice Address - Fax:615-342-4662
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52638208000000X
TN000526382080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics