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Individual

DR. MICHAEL JEFFERIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
112 PINE CREEK DR, HAMPTON, VA 23669-1244
(757) 810-3232
(757) 788-8816
Mailing address
112 PINE CREEK DR, HAMPTON, VA 23669-1244
(757) 810-3232
(757) 788-8816

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101229307
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902884901
VA
Enumeration date
01/09/2006
Last updated
03/11/2015
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