Individual
DR. VIRGIL SINATRA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2519
(228) 377-6495
(228) 377-9170
Mailing address
412 JORDAN DRIVE, BILOXI, MS 39531-2309
(228) 377-6495
(228) 377-9170
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
4301045275
MI
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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