David G. Sanford, M.D., P.S.C.
Organization Active NPI Ophthalmology Physician · New Tazewell, TN
NPI 1558033167 · NPPES record last updated Oct 1, 2021
Key facts
- NPI
- 1558033167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- DAVID G. SANFORD, M.D., P.S.C.
- Practice address
- 409 N Broad St
New Tazewell, TN 37825-6607 - Phone
- (423) 615-4372
- NPI assigned
- Oct 1, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- DAVID G SANFORD, M.D., P.S.C.
Authorized official
- Name
- David Sanford, MD
- Title
- Owner
- Phone
- (606) 248-0932
Practitioners 2
-
Holly Renee Booth, O.D.
-
Sally Ann Shevlin, PA-C
National Provider Directory
- Part of
- David G Sanford MD PS
Locations
1502 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0932
409 N Broad St
New Tazewell, TN 37825
Phone (423) 615-4372
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
409 N Broad St
New Tazewell, TN 37825-6607
Mailing address
1502 Cumberland Ave
Middlesboro, KY 40965-1223
Phone (606) 248-0932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000284679 | Other | KY | ANTHEM GROUP NUMBER |
Other providers in New Tazewell, TN
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- Ashley Damron
- Sara Elizabeth Daniels
- Charles H Debusk
- Gina Marie Defranco
- Diversicare Leasing LP
- Melvin Keith Donesky
- Dr.Melvin Donesky D.D.S.
All providers in New Tazewell, TN · Ophthalmology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.