Williford, Susan Ann Kidwell
Williford, Susan Ann Kidwell is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-4324. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Williford, Susan Ann Kidwell can be contacted via phone (336) 716-5599.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-4324
Phone: (336) 716-5599
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29454 | North Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 29454 | North Carolina |
Profile Details
| NPI number | 1851313332 |
|---|---|
| LBN Legal business name | Williford, Susan Ann Kidwell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Sep 18th, 2018 - about 7 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 | 1851313332 | NPPES |
| North Carolina | Other | 110122233 | RR MEDICARE |
| North Carolina | MEDICAID | 8988077 | RR MEDICARE |
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