Individual
GEORGIE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 765-2036
Mailing address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 765-2036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10187
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051553241
—
AL
01
—
1508822313
GROUP NPI NUMBER
AL
01
—
D078
MEDICARE GROUP NUMBER
AL
Enumeration date
04/19/2006
Last updated
07/11/2007
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