Individual
MRS. ANTOINETTE Y. L. JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMSC, PA-C
Contact information
Practice address
2885 HEADLAND DR, EAST POINT, GA 30344-6652
(404) 344-9333
(404) 344-9922
Mailing address
5478 SPELMAN DR SW, ATLANTA, GA 30331-8093
(404) 298-7586
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
901687708C
—
GA
Enumeration date
04/27/2006
Last updated
10/11/2011
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