Jon L Stanford, MD

NPI #1336193200 in Carrollton, Georgia

Provider Information

NPI Number: 1336193200
Entity Type: Individual
Name: Jon L Stanford, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: May 22, 2006
Last Updated: Aug 8, 2013

Practice Location

Address: 119 AMBULANCE DR # DT
Address 2: SUITE 202
City: Carrollton
State: Georgia
ZIP Code: 30117-3857
Phone: (770) 834-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Surgery	208600000X	Primary

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Organizations

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