Individual
STANLEY BERNARD FLANDERS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 ALAN LN, TIFTON, GA 31793-7118
(229) 726-4954
Mailing address
26 ALAN LN, TIFTON, GA 31793-7118
(229) 726-4954
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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