Individual
PAMELA MINTZ JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
208 OFFICE PARK DR, GULF SHORES, AL 36542-3432
(251) 948-2045
(251) 948-2048
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH196
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
01
—
515-40476
BCBS
AL
01
—
7643921
AETNA
AL
05
—
890021030
—
AL
01
—
DB9027
RAILROAD MEDICARE GROUP
AL
Enumeration date
03/29/2007
Last updated
03/27/2009
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