Individual
SHANNON ORANDA JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-2670
Mailing address
909 FAIRWAY AVE, THOMASVILLE, NC 27360-3140
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
2416599
NC
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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