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Individual
DR. VICTORIA HARRIS THEDFORD
Active
Individual
DR. VICTORIA HARRIS THEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054039
GA
207R00000X
Internal Medicine Physician
054039
GA
208000000X
Pediatrics Physician
054039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187347049E
—
GA
Enumeration date
01/25/2007
Last updated
03/06/2025
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