Individual
MR. TONY D SANFORD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 CLEVELAND ST, NEW ALBANY, MS 38652-4044
(662) 668-0662
(662) 538-1193
Mailing address
108 CLEVELAND ST, NEW ALBANY, MS 38652-4044
(662) 668-0662
(662) 538-1193
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
060294755
TN
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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