Individual
DONNA S TAFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 741-3007
(478) 330-6288
Mailing address
550 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 741-3007
(478) 330-6288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
045317
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000794043B
—
GA
Enumeration date
08/08/2006
Last updated
10/14/2011
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