Individual
DR. MARTIN DAVID JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 E HIGH ST STE 201, CHARLOTTESVILLE, VA 22902-4850
(434) 654-2870
Mailing address
300 E HOSPITAL ROAD, OBGYN DEPARTMENT, FT. GORDON, GA 30905-3089
(706) 787-7445
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
026875
GA
207VG0400X
Gynecology Physician
026875
GA
207VX0000X
Obstetrics Physician
026875
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000301111C
—
GA
01
—
026875
MEDICAL LICENSE
GA
01
—
1699877324
NPI
GA
Enumeration date
09/02/2006
Last updated
07/15/2024
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