Stafford, Madeline

Stafford, Madeline is an individual health care provider with primary practice located at 32 Old Stonemill Rd Ne , Marietta GA 30067-4128. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Stafford, Madeline can be contacted via phone (404) 402-0364.

Contact Information

Primary practice address
32 Old Stonemill Rd Ne Marietta GA 30067-4128
Phone: (404) 402-0364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1003399726
LBN Legal business name Stafford, Madeline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2018
Last updated Sep 9th, 2018 - about 8 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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