Individual
MS. JANICE ELIZABETH SANDIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5700 HILLANDALE DR STE 250, LITHONIA, GA 30058-4120
(770) 981-5431
(770) 981-5515
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 981-5431
(770) 495-2307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN120356
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003101232C
—
GA
01
—
202I503406
MEDICARE PTAN
GA
Enumeration date
08/30/2010
Last updated
08/18/2020
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