IRIS STANFORD

CARROLLTON, GA
NPI1447563481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  009969)
Enumeration Date2010-07-20
Last Update Date2010-07-20
Business Address
-- IRIS STANFORD DPT
812 S PARK ST
CARROLLTON, GA 30117-4412
Phone number: 770-834-7436
Mailing Address
-- IRIS STANFORD DPT
120 E CENTER ST
CARROLLTON, GA 30117-3303
Phone number: 770-832-2484