Individual
LINDA C JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-2395
Mailing address
252 BIRCHMORE WALK, LAWRENCEVILLE, GA 30044-4584
(404) 933-5092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN090993
GA
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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