Individual
DR. HENRY D JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 SW CARY PKWY, SUITE 130, CARY, NC 27511-6224
(919) 387-3180
(919) 387-3145
Mailing address
1515 SW CARY PKWY, SUITE 130, CARY, NC 27511-6224
(919) 387-3180
(919) 387-3145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45881
BCBS
NC
05
—
7945894
—
NC
Enumeration date
05/16/2006
Last updated
03/07/2023
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