Individual
MR. RYAN EDWARD SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 RADFORD BLVD, 20328, ALBANY, GA 31704-1130
(229) 639-5540
Mailing address
814 RADFORD BLVD, 20328, ALBANY, GA 31704-1130
(229) 639-5540
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
04/21/2010
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