Provider Demographics
NPI:1043412349
Name:WILLIFORD, SHERRY LYNN (RT(R)(M), RDMS)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:WILLIFORD
Suffix:
Gender:F
Credentials:RT(R)(M), RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36350-7452
Mailing Address - Country:US
Mailing Address - Phone:334-797-6437
Mailing Address - Fax:
Practice Address - Street 1:403 4TH ST
Practice Address - Street 2:
Practice Address - City:MIDLAND CITY
Practice Address - State:AL
Practice Address - Zip Code:36350-7452
Practice Address - Country:US
Practice Address - Phone:334-797-6437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography