Individual
DR. JEFFREY MICHAEL DIFFENDERFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-1304
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-1304
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
01070055A
IN
2083X0100X
Occupational Medicine Physician
Primary
01070055A
IN
Other
Enumeration date
02/26/2010
Last updated
12/12/2025
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