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Victorine Willoughby

NPI 1952266918 · on the registry since 2025 · sole proprietor

Practice

Address
1044 Haley Woods Ln
Lawrenceville, GA 30043
Phone
(917) 450-4922
Fax
(877) 861-6927

Registry record

Primary taxonomy
163WH0200X
163WH0200X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia