Individual
JAMES KEITH STANFORD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 HIGHWAY 61 N STE 2300, VICKSBURG, MS 39183-8246
(601) 883-3320
(601) 883-3326
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7361
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
T-3219
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01882015
—
MS
Enumeration date
04/19/2016
Last updated
02/28/2022
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