Individual
JAY RALEIGH JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
253 VIRGINIA DR, BATESVILLE, AR 72501-7335
(870) 569-8179
(870) 569-8109
Mailing address
253 VIRGINIA DR, BATESVILLE, AR 72501-7335
(870) 569-8179
(870) 569-8109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E0374
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127204001
—
AR
Enumeration date
03/14/2006
Last updated
07/07/2021
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