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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JON L STANFORD, MD

Active

JON L STANFORD, MD is a General Surgery healthcare provider located in CARROLLTON, Georgia. NPI 1336193200 is currently active in the NPPES registry. Verify at CMS.

General Surgery · CARROLLTON, GA

Registration Details

NPI Number
1336193200
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2006 (20.223656885792 yrs)
Last Updated
Aug 8, 2013
Licenses
24016 (SC)
065186 (GA)

Practice Information

Address
119 AMBULANCE DR # DT
SUITE 202
CARROLLTON, GA, 301173857
Browse GA providers · Browse ZIP 30117
Phone
7708343336
Fax
7708322331
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in CARROLLTON, GA

Name Credential NPI
DR. BRIAN E BARDEN M.D. 1679557078
DAVID W GRIFFIN M.D. 1083698096
THOMAS E REEVE III M.D. 1578547584
RAUL G. ZUNZUNEGUI M.D. 1932179652
BARRY FRANK HARRIS M.D. 1912961095
JOSE E ESPINEL MD 1497863211
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.