| Stafford Services Of Coastal Georgia Llc | |
|
185 Richard Davis Dr Ste 105 Richmond Hill GA 31324-3978 | |
| (833) 779-3825 | |
| Not Available |
| Full Name | Stafford Services Of Coastal Georgia Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 185 Richard Davis Dr Ste 105, Richmond Hill, Georgia |
| Authorized Official Name and Position | Candace M. Stafford (LEAD PSYCHOLOGIST) |
| Authorized Official Contact | 8337793825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stafford Services Of Coastal Georgia Llc Po Box 1943 Richmond Hill GA 31324-1943 Ph: () - | Stafford Services Of Coastal Georgia Llc 185 Richard Davis Dr Ste 105 Richmond Hill GA 31324-3978 Ph: (833) 779-3825 |
| NPI Number | 1104619329 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104619329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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