Search › Georgia › 208600000X
Jon Stanford, MD
NPI 1336193200 · on the registry since 2006
Practice
- Address
- 119 Ambulance Dr # Dt
Suite 202
Carrollton, GA 30117 - Phone
- (770) 834-3336
- Fax
- (770) 832-2331
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 174400000X
- Licence states on file
- SC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia