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Search › Georgia › 363A00000X

Stantafferta Sparrow, PA

NPI 1407522501 · on the registry since 2021

Practice

Address
1075 Lafayette Pkwy Ste 200
Lagrange, GA 30241
Phone
(770) 740-1860
Fax
(770) 516-8768
Organisation at this address
Med Ventures Mri, Llc
Lafayette Neurology, Pc
Major Surgical Associates, Llc
Apex Medical Surgery Center, Llc
Medventures Physical Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-18

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