NPI 1225979826

Stanford Clinic LLC

Organisation General Practice Physician Lucedale, MS

Practice location

Address: 5192 Main St, Lucedale, MS 39452-6771
Phone: (601) 947-0250

Authorised official

Name: Casey Stanford
Title: Owner/Md
Phone: (601) 947-0250

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Mississippi →

Registry record

NPI: 1225979826
Entity type: Organization
NPI issued: 6 Apr 2026
Record last updated: 6 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.