Organization
JON E. SANFORD,M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON E SANFORD M.D. (PRESIDENT)
(205) 932-3900
Entity
Organization
Contact information
Practice address
122 17TH CT NE, FAYETTE, AL 35555-1353
(205) 932-3900
(205) 932-3941
Mailing address
122 17TH CT NE, FAYETTE, AL 35555-1353
(205) 932-3900
(205) 932-3941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3835
AL
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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