Individual
DR. BRYAN G JEFFERIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2480 WINDY HILL RD SE, SUITE 400, MARIETTA, GA 30067-8644
(678) 262-4220
(678) 262-4221
Mailing address
2480 WINDY HILL RD SE, SUITE 400, MARIETTA, GA 30067-8644
(678) 262-4220
(678) 262-4221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
057122
GA
207W00000X
Ophthalmology Physician
2008-01722
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151MJ
BLUE CROSS OF NC
NC
05
—
901559898A
—
GA
Enumeration date
10/19/2006
Last updated
10/06/2010
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