Organization
STANFORD MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KEITH STANFORD M.D. (OWNER)
(662) 227-1744
Entity
Organization
Contact information
Practice address
1117 SUNSET DR, SUITE 101, GRENADA, MS 38901-4080
(662) 227-1744
(662) 226-1116
Mailing address
1117 SUNSET DR, SUITE 101, GRENADA, MS 38901-4080
(662) 227-1744
(662) 226-1116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
11/08/2010
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