| Dr Kathryn K Williford, MD | |
|
2011 Westend Dr, Greensboro, GA 30642-5146 | |
| (706) 453-9803 | |
| (706) 453-0728 |
| Full Name | Dr Kathryn K Williford |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2011 Westend Dr, Greensboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962626572 | NPI | - | NPPES |
| 000666157F | Medicaid | GA | |
| 000666157G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 040114 (Georgia) | Primary |
| Entity Name | Neighborhood Improvement Project, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700900867 PECOS PAC ID: 7315851078 Enrollment ID: O20031117000665 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathryn K Williford, MD 2467 Golden Camp Rd, Augusta, GA 30906-5515 Ph: (706) 790-4440 | Dr Kathryn K Williford, MD 2011 Westend Dr, Greensboro, GA 30642-5146 Ph: (706) 453-9803 |
Christopher J Bassett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 Parkside Cmns, Unit 101, Greensboro, GA 30642 Phone: 706-454-1210 Fax: 706-454-1211 | |
Michael F. Roberts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2011 Westend Dr, Greensboro, GA 30642 Phone: 706-453-9803 Fax: 706-453-0728 |