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Organization

DAVID G. SANFORD, M.D., P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GEORGE SANFORD M.D. (OWNER)
(606) 248-0932
Entity
Organization

Contact information

Practice address
1502 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1223
(606) 248-0932
(606) 248-1384
Mailing address
1502 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1223
(606) 248-0932
(606) 248-1384

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000284679
ANTHEM GROUP NUMBER
KY
05
65945487
KY
Enumeration date
08/22/2006
Last updated
07/16/2016
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