Individual
ANNA BOYD JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.O.
Contact information
Practice address
420 MAPLE AVE, BURLINGTON, NC 27215-5934
(336) 228-7877
(336) 228-7514
Mailing address
420 MAPLE AVE, BURLINGTON, NC 27215-5934
(336) 228-7877
(336) 228-7514
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0494I
BLUE CROSS BLUE SHIELD
NC
05
—
7704513
—
NC
Enumeration date
04/06/2007
Last updated
07/08/2007
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