Individual
DR. KATHRYN K WILLIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2011 WESTEND DR, GREENSBORO, GA 30642-5146
(706) 453-9803
(706) 453-0728
Mailing address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 790-4440
(706) 922-0252
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
040114
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000666157F
—
GA
05
—
000666157G
—
GA
Enumeration date
04/13/2007
Last updated
03/20/2025
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