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NPI Code Detail

MEDICARE: DR. MARTHA H SANFORD MD

MEDICARE:  DR. MARTHA H SANFORD  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME130884FL
2207R00000XInternal Medicine Physician33796TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821099839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTHA H SANFORD MD
Provider Business Mailing Address
First Line : 76 OKEECHOBEE CIR
Second Line :
City : SANTA ROSA BEACH
State : FL
Zip : 32459-8798
Country : US
Telephone Number : 901-844-1431
Fax Number :
Provider Business Practice Location Address
First Line : 4100 AUSTIN PEAY HWY
Second Line :
City : MEMPHIS
State : TN
Zip : 38128-2502
Country : US
Telephone Number : 901-213-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 11/24/2025

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