| Stanford Clinic Llc | |
|
5192 Main St Lucedale MS 39452-6771 | |
| (601) 947-0250 | |
| Not Available |
| Full Name | Stanford Clinic Llc |
|---|---|
| Speciality | General Practice |
| Location | 5192 Main St, Lucedale, Mississippi |
| Authorized Official Name and Position | Casey Stanford (OWNER/MD) |
| Authorized Official Contact | 6019470250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford Clinic Llc 5192 Main St Lucedale MS 39452-6771 Ph: (601) 947-0250 | Stanford Clinic Llc 5192 Main St Lucedale MS 39452-6771 Ph: (601) 947-0250 |
| NPI Number | 1225979826 |
|---|---|
| Provider Enumeration Date | 04/06/2026 |
| Last Update Date | 04/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225979826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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