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Organization
STACEY H WILLIFORD LLC
Active
Organization
STACEY H WILLIFORD LLC
Active
Other names
Cardinal Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY WILLIFORD NP (OWNER)
(478) 232-7066
Entity
Organization
Contact information
Practice address
524 SPARTA RD, SANDERSVILLE, GA 31082-1376
(478) 412-2880
(478) 412-2881
Mailing address
524 SPARTA RD, SANDERSVILLE, GA 31082-1376
(478) 412-2880
(478) 412-2881
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
10/24/2025
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