Individual
MR. JEFFREY TODD NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4300 W MAIN ST STE 405, DOTHAN, AL 36305-1086
(334) 944-7073
(334) 793-5346
Mailing address
PO BOX 6599, DOTHAN, AL 36302-6599
(334) 944-7073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA326
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051552529
—
AL
01
—
51512732
BXBS
AL
Enumeration date
06/20/2005
Last updated
03/04/2021
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