IndividualActive
Shawn Sanders, M.D.
NPI 1629207170 · Interventional Cardiology Physician · Jackson, MS
Provider details
- NPI number
- 1629207170
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 22036 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone: (601) 969-6404
Fax: (601) 973-4541
Approximate (ZIP-level) locationGet directions
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Additional practice locations (1)
- 2500 N State StJackson, MS 39216-4500Phone: (601) 984-5601
Registry dates
- Enumerated
- 2009-07-06
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.