Organization
LIVING STONE HOUSE CALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LANFORD (CEO)
(770) 401-6515
Entity
Organization
Contact information
Practice address
2275 GREESON RD NE, STATHAM, GA 30666-2111
(770) 401-6516
Mailing address
PO BOX 135, LAVONIA, GA 30553-0135
(770) 401-6515
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
GA
Other
Enumeration date
07/11/2017
Last updated
10/02/2017
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