IndividualActive
Christopher Stafford
NPI 1205798055 · Health Maintenance Organization · Stockbridge, GA
Provider details
- NPI number
- 1205798055
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
261 Montgomery Dr
Stockbridge, GA 30281-2839
Phone: (470) 482-9217
Approximate (ZIP-level) locationGet directions
Mailing address
261 Montgomery Dr
Stockbridge, GA 30281-2839
Registry dates
- Enumerated
- 2025-12-01
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.