Individual
KELSEY D SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
833 CAMPBELL HILL ST NW STE 280, MARIETTA, GA 30060-1162
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 931914, ATLANTA, GA 31193-1914
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
190953
GA
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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