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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730235771 NPPES
Georgia MEDICAID 187347049E

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