Individual
MR. DERRICK JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 5TH ST, WEST POINT, MS 39773-2239
(662) 275-4718
(888) 283-2894
Mailing address
777 5TH ST, WEST POINT, MS 39773-2239
(662) 275-4718
(888) 283-2894
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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