Childers, Stanley Floyd
Childers, Stanley Floyd is an sole proprietor health care provider with primary practice located at 109 Oglesby Ave , Garden City GA 31408-1611. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Childers, Stanley Floyd can be contacted via phone (912) 966-2102.Contact Information
Primary practice address
109 Oglesby Ave
Garden City GA 31408-1611
Phone: (912) 966-2102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9625 | Georgia |
Profile Details
| NPI number | 1023024924 |
|---|---|
| LBN Legal business name | Childers, Stanley Floyd |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023024924 | NPPES |
| Georgia | MEDICAID | 00249906A |
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