Stafford, Cleo Dennis
Stafford, Cleo Dennis is an individual health care provider with primary practice located at 3896 Princeton Lakes Way , Atlanta GA 30331. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Stafford, Cleo Dennis can be contacted via phone (404) 489-4444.Contact Information
Primary practice address
3896 Princeton Lakes Way
Atlanta GA 30331
Phone: (404) 489-4444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD.35085 | Alabama |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 77937 | Georgia |
Profile Details
| NPI number | 1962765321 |
|---|---|
| LBN Legal business name | Stafford, Cleo Dennis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2012 |
| Last updated | Feb 8th, 2019 - about 7 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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