Thedford, Victoria Harris
Thedford, Victoria Harris is an sole proprietor health care provider with primary practice located at 155 Medical Way Ste E , Riverdale GA 30274. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Thedford, Victoria Harris can be contacted via phone (770) 968-1997.Contact Information
Primary practice address
155 Medical Way Ste E
Riverdale GA 30274
Phone: (770) 968-1997
Fax: (770) 968-1918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 054039 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 054039 | Georgia |
Profile Details
| NPI number | 1730235771 |
|---|---|
| LBN Legal business name | Thedford, Victoria Harris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 23rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730235771 | NPPES |
| Georgia | MEDICAID | 187347049E |
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