Provider Demographics
NPI:1174552509
Name:SANDS, JEFF MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:JEFF
Middle Name:MICHAEL
Last Name:SANDS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:EMORY UNIVERSITY RENAL DIVISION
Mailing Address - Street 2:1639 PIERCE DRIVE, WMB 338
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-727-2525
Mailing Address - Fax:404-727-3425
Practice Address - Street 1:EMORY UNIVERSITY RENAL DIVISION
Practice Address - Street 2:1639 PIERCE DRIVE, WMB 338
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-727-2525
Practice Address - Fax:404-727-3425
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
GA031116207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF08967Medicare UPIN