Stafford, Charles Tanner

Stafford, Charles Tanner is an sole proprietor health care provider with primary practice located at 119 N. Donalson St. Suite B, Bainbridge GA 39817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Stafford, Charles Tanner can be contacted via phone (229) 220-0780.

Contact Information

Primary practice address
119 N. Donalson St. Suite B Bainbridge GA 39817
Phone: (229) 220-0780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 017767 Georgia

Profile Details

NPI number 1104074699
LBN Legal business name Stafford, Charles Tanner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2008
Last updated Feb 21st, 2013 - about 13 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.

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