Individual
JIMMY JEFFCOATS
Active
Individual
JIMMY JEFFCOATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDCS
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
32685
MD
2471S1302X
Sonography Radiologic Technologist
—
OK
2471V0105X
Vascular Sonography Radiologic Technologist
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20041980A
—
OK
Enumeration date
08/15/2016
Last updated
08/15/2016
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