Individual
LYDIA STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
679 SMITH RD, NEWNAN, GA 30263-3988
(404) 910-8512
Mailing address
679 SMITH RD, NEWNAN, GA 30263-3988
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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