CHARLES TANNER STAFFORD

BAINBRIDGE, GA
NPI1104074699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: GA  017767)
Enumeration Date2008-09-09
Last Update Date2013-02-21
Business Address
-- CHARLES TANNER STAFFORD MD
119 N. DONALSON ST. SUITE B
BAINBRIDGE, GA 39817
Phone number: 229-220-0780
Mailing Address
-- CHARLES TANNER STAFFORD MD
119 N. DONALSON ST. SUITE B
BAINBRIDGE, GA 39817
Phone number: 229-220-0780
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