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Individual

EDWARD E JEFFRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8595 PICARDY AVE, STE 100, BATON ROUGE, LA 70809-3674
(225) 763-4900
(225) 763-4938
Mailing address
PO BOX 261166, BATON ROUGE, LA 70826-1166
(337) 289-8971
(337) 289-8970

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011928
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1670537
LA
Enumeration date
06/27/2005
Last updated
11/06/2007
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