Larry D Jefferson SR.

NPI #1881580819 in Columbus, Mississippi

Provider Information

NPI Number: 1881580819
Entity Type: Individual
Name: Larry D Jefferson SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medical Technician, Intermediate
Enumeration Date: Jun 16, 2025
Last Updated: Jun 23, 2025

Practice Location

Address: 342 SYLVAN RD
City: Columbus
State: Mississippi
ZIP Code: 39702-3014
Phone: (662) 364-0578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Intermediate	146M00000X	Primary

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