Individual
MRS. OLA BETH SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
960 JOHNSON FERRY RD STE 130, ATLANTA, GA 30342-1601
(404) 300-2990
(404) 300-2986
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 590-8311
(770) 590-8313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN084872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810766655I
—
GA
05
—
810766655J
—
GA
Enumeration date
02/20/2007
Last updated
05/11/2020
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