NPI 1063866705

James Keith Stanford, MD

Practitioner Otolaryngology Physician Vicksburg, MS

Practice location

Address: 2200 Highway 61 N STE 2300, Vicksburg, MS 39183-8246
Phone: (601) 883-3320
Fax: (601) 883-3326
Mailing address: PO Box 689022, Franklin, TN 37068-9022

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence T-3219 (MS)

Other Otolaryngology providers in Mississippi →

Registry record

NPI: 1063866705
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2016
Record last updated: 28 Feb 2022

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.