Individual
MR. ANDREW WARREN DAFFORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 BOB JONES RD, SCOTTSBORO, AL 35769-6306
(256) 244-4548
Mailing address
1104 BOB JONES RD, SCOTTSBORO, AL 35769-6306
(256) 244-4548
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10732
AL
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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