# JEFFERS MANN & ARTMAN PEDIATRIC & ADOLESENT MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962466631
- **Authorized official:** THERESA WALKER JEFFERS (ADMINSTRATION)
- **Authorized official phone:** (919) 786-5001

## Contact information

- **Practice address:** 2406 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607-6678
- **Practice address phone:** (919) 786-5001
- **Practice address fax:** (919) 786-5051
- **Mailing address:** 2406 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607-6678
- **Mailing address phone:** (919) 786-5001
- **Mailing address fax:** (919) 786-5051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2006
- **Last updated:** 03/21/2017