Individual
JEFFREY MAYBERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(800) 232-5703
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-087876
AL
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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