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Individual

MR. JEFFREY TODD HEDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1002 N CHURCH ST STE 100, GREENSBORO, NC 27401-1447
(336) 580-5157
Mailing address
400 PINELLAS ST STE 325, CLEARWATER, FL 33756-3320
(727) 298-6121
(727) 298-6151

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06254
NC
363A00000X
Physician Assistant
PA9113430
FL
363AS0400X
Surgical Physician Assistant
PA9113430
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108683300
FL
Enumeration date
02/08/2016
Last updated
02/28/2024
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