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Individual

DR. THOMAS TERRYL JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 N UNIVERSITY AVE STE 200, LITTLE ROCK, AR 72207-6360
(888) 710-8220
(866) 573-0761
Mailing address
PO BOX 1848, MENA, AR 71953-1841
(888) 710-8220
(866) 573-0761

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C4604
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104422001
AR
Enumeration date
08/22/2006
Last updated
06/26/2025
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