Individual
DAVID L WILLIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
100 GOSHEN RD, RINCON, GA 31326-5545
(912) 826-6612
(912) 826-6017
Mailing address
116 HIGHLAND DR, RINCON, GA 31326-5727
(912) 826-5422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014514
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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