Individual
DR. JILLIAN LEE WILFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
97 ADMINISTRATIVE DR, MARTINSBURG, WV 25404-6378
(304) 350-3200
Mailing address
11 HUNT CLUB PLZ, RIDGELEY, WV 26753-5213
(304) 726-4501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25193
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2011
Last updated
11/29/2018
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