IndividualActive
Casey Stanford, MD
NPI 1992325740 · General Practice Physician · Lucedale, MS
Provider details
- NPI number
- 1992325740
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 29424 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5192 Main St
Lucedale, MS 39452-6771
Phone: (601) 947-0250
Fax: (601) 947-0103
Approximate (ZIP-level) locationGet directions
Mailing address
5192 Main St
Lucedale, MS 39452-6771
Registry dates
- Enumerated
- 2020-04-22
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.