Individual provider · Type 1 NPI
Charles Tanner Stafford, MD
Gynecology Physician · Bainbridge, GA
NPI number
1104074699
Active
Practice location
119 N. Donalson St., Suite B
Bainbridge, GA 39817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 017767 (GA) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
About NPI 1104074699
Charles Tanner Stafford, MD's National Provider Identifier is 1104074699, issued on Sep 9, 2008. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Bainbridge, GA. The record was last updated on Feb 21, 2013.