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DR. CASEY CHRISTOPHER STANFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5192 MAIN ST, LUCEDALE, MS 39452-6771
(601) 947-0250
(601) 947-0103
Mailing address
5192 MAIN ST, LUCEDALE, MS 39452-6771
(601) 947-0250
(601) 947-0103

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29424
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/22/2020
Last updated
04/07/2026
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