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Individual

DR. KEN E SANFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2989 W ROCK QUARRY RD, BUFORD, GA 30519-4118
(770) 932-4543
(770) 932-4712
Mailing address
258 WELDON RD, FAYETTEVILLE, GA 30215-5500
(770) 932-4543
(770) 932-4712

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
036449
GA
207R00000X
Internal Medicine Physician
036449
GA

Other

Enumeration date
05/21/2007
Last updated
09/11/2025
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