Individual
KIRK R. JEFFREYS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 LAKELAND DR, SUITE 100, JACKSON, MS 39216-4834
(601) 366-1085
(601) 366-5186
Mailing address
1501 LAKELAND DR, SUITE 100, JACKSON, MS 39216-4834
(601) 366-1085
(601) 366-5186
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14957
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120588
—
MS
Enumeration date
09/28/2006
Last updated
08/13/2012
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