Individual provider · Type 1 NPI

Madeline Stafford

Student in an Organized Health Care Education/Training Program · Marietta, GA

NPI number 1003399726 Active

Practice location

32 Old Stonemill Rd NE
Marietta, GA 30067-4128

Call (404) 402-0364 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003399726

Madeline Stafford's National Provider Identifier is 1003399726, issued on Sep 9, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marietta, GA. The record was last updated on Sep 9, 2018.