Individual
GERRY L JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 BAPTIST BLVD, STE 307, COLUMBUS, MS 39705-2011
(662) 328-1862
(662) 328-7597
Mailing address
PO BOX 1019, COLUMBUS, MS 39703-1019
(662) 328-1862
(662) 328-7597
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
06422
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015765
—
MS
Enumeration date
07/20/2006
Last updated
07/08/2007
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