Sally Jo Sanford, APRN
Individual provider Active NPI Family Nurse Practitioner · Adairsville, GA
NPI 1720103047 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720103047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN072580 (GA)
- Practice address
- 14 Legacy Way Ste B
Adairsville, GA 30103-2455 - Phone
- (770) 773-9902
- Fax
- (770) 773-9803
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Urology Group, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN072580 | GA | Yes |
Addresses
Primary practice location
14 Legacy Way Ste B
Adairsville, GA 30103-2455
Mailing address
276 Little Rd NE
Resaca, GA 30735-6522
Phone (706) 625-7376
Other providers in Adairsville, GA
- Garrett Edmond Post III
- Premise Health of Georgia Medical PC
- Jonathan Andrew Purser
- Courtney Quinney
- Hope Sampson
- Cody Ryan Scoggins
- Deann Shelley
- Southern Smile Dental LLC
- Jacob Benjamin Stewart
- Darius Sturkey
All providers in Adairsville, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.