Individual
DEBBIE B WILLIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
43 EAST MAIN STREET, GIBSON,, GA 30810-4200
(706) 831-2574
Mailing address
1972 GA HIGHWAY 171 N, GIBSON, GA 30810-4200
(706) 598-2340
(706) 598-2340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000210
GA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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