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Individual

CHRISTOPHER WAYNE STANFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7662
Mailing address
484 DAY STAR CIR, BOWLING GREEN, KY 42104-5581
(615) 681-8290

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1147930
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3017154
KY

Other

Enumeration date
10/21/2021
Last updated
02/09/2022
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