Individual
JEFFREY DEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4381 S EASON BLVD, TUPELO, MS 38801-6583
(662) 377-5469
Mailing address
4381 S EASON BLVD, TUPELO, MS 38801-6583
(662) 377-5469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT0528
STATE OF MS
MS
Enumeration date
10/06/2015
Last updated
10/06/2015
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