Individual
DR. JAMIE L. JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 TRACY WAY, STE 2, CHARLESTON, WV 25311-1262
(304) 388-7782
(304) 388-7788
Mailing address
600 TRACY WAY, STE 2, CHARLESTON, WV 25311-1262
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
WV18284
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011036300
—
WV
05
—
0110363000
—
WV
01
—
WV18284
WV LICENSE NUMBER
WV
Enumeration date
10/10/2006
Last updated
01/12/2016
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