IndividualActive
Charles Stafford, MD
NPI 1104074699 · Gynecology Physician · Bainbridge, GA
Provider details
- NPI number
- 1104074699
- Entity type
- Individual
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 017767 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
119 N. Donalson St.
Suite B
Bainbridge, GA 39817
Phone: (229) 220-0780
Approximate (ZIP-level) locationGet directions
Mailing address
119 N. Donalson St.
Bainbridge, GA 39817
Registry dates
- Enumerated
- 2008-09-09
- Last updated
- 2013-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.