Individual
DR. TIMOTHY A STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2737 WINNSBORO RD, NEWBERRY, SC 29108-4011
(803) 276-3271
(803) 233-2881
Mailing address
2737 WINNSBORO RD, PO BOX 493, NEWBERRY, SC 29108-4011
(803) 276-3271
(803) 233-2881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
696
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D06964
—
SC
Enumeration date
03/23/2006
Last updated
06/20/2013
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