Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES TANNER STAFFORD, MD
Active Sole ProprietorCHARLES TANNER STAFFORD, MD is a Gynecology healthcare provider located in BAINBRIDGE, Georgia. NPI 1104074699 is currently active in the NPPES registry. Verify at CMS.
Gynecology · BAINBRIDGE, GA
Registration Details
- NPI Number
- 1104074699
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2008 (17.972124077444 yrs)
- Last Updated
- Feb 21, 2013
- License
-
017767 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
119 N. DONALSON ST.SUITE BBAINBRIDGE, GA, 39817Browse GA providers · Browse ZIP 39817
- Phone
- 2292200780
- Primary Specialty
-
Gynecology
207VG0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.