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Organization

DOMINION HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BILLY WAYNE JEFFERSON JR. DO (OWNER)
(601) 441-2975
Entity
Organization

Contact information

Practice address
53 SWEET MAPLE TRL, PETAL, MS 39465-5003
(601) 441-2975
Mailing address
53 SWEET MAPLE TRL, PETAL, MS 39465-5003

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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