SearchGeorgia101YM0800X

Sean Stanford

NPI 1760993927 · on the registry since 2017 · sole proprietor

Practice

Address
1263 Melrose Forest Ln
Lawrenceville, GA 30045
Phone
(678) 200-9289

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
Licence states on file
GA, LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-25

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