Individual
JEFFERY BERNARD BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 FALCON CIR, SHELBY, NC 28150-4923
(980) 320-6537
Mailing address
404 FALCON CIR, SHELBY, NC 28150-4923
(980) 320-6537
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8164561
NC
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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