Provider Demographics
NPI:1992826614
Name:SANFORD, RASHAD O (DC)
Entity Type:Individual
Prefix:
First Name:RASHAD
Middle Name:O
Last Name:SANFORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3085 CREST RIDGE CIR SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-4531
Mailing Address - Country:US
Mailing Address - Phone:404-513-6201
Mailing Address - Fax:
Practice Address - Street 1:5755 N POINT PKWY STE 2
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1136
Practice Address - Country:US
Practice Address - Phone:770-752-1819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007962111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor