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Search › Georgia › 156FX1800X

James Willaford, LDO

NPI 1770338568 · on the registry since 2024 · sole proprietor

Practice

Address
3274 Inner Perimeter Rd
Valdosta, GA 31602
Phone
(229) 590-8680
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Also registered as
156FX1800X
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia