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Individual

STANESHA FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
148 CRESTWOOD DR, MACON, GA 31211-6622
(478) 297-3119
(478) 216-9151
Mailing address
148 CRESTWOOD DR, MACON, GA 31211-6622
(478) 297-3119
(478) 216-9151

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
GA

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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