Individual
MRS. DEBORAH CHRISTINE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(843) 297-6986
Mailing address
1720 COLUMBUS RD, GEORGETOWN, SC 29440-8439
(843) 527-4269
(843) 527-4269
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3622
SC
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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