Wendall Keith Jefferson

NPI #1801692462 in Phenix City, Alabama

Provider Information

NPI Number: 1801692462
Entity Type: Individual
Name: Wendall Keith Jefferson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Feb 24, 2025
Last Updated: Mar 22, 2025

Practice Location

Address: 1719 12TH ST
City: Phenix City
State: Alabama
ZIP Code: 36867-6044
Phone: (404) 307-5251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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