Individual
DR. JEFFREY ALLEN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3803 ROBERT PORCHER WAY, GREENSBORO, NC 27410-2191
(336) 286-3442
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4544843
AETNA
NC
01
—
51162
MEDCOST
NC
05
—
7983578
—
NC
01
—
83578
BCBS NC
NC
01
—
8692
PARTNERS MEDICARE
NC
Enumeration date
05/11/2006
Last updated
12/03/2012
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