Individual
MICHAEL F JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(912) 283-3030
Mailing address
PO BOX 17694, BALTIMORE, MD 21297-1694
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101059207
VA
207P00000X
Emergency Medicine Physician
050026
GA
207P00000X
Emergency Medicine Physician
58138
MA
Other
Enumeration date
07/17/2006
Last updated
02/19/2008
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