DR. Sam Stafford III, MD

NPI #1164480166 in Mt Pleasant, South Carolina

Provider Information

NPI Number: 1164480166
Entity Type: Individual
Name: DR. Sam Stafford III, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: May 2, 2006
Last Updated: Oct 24, 2012

Practice Location

Address: 570 LONG POINT RD
Address 2: SUITE 200
City: Mt Pleasant
State: South Carolina
ZIP Code: 29464-7930
Phone: (843) 881-0320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Dermatology	207N00000X	Primary

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