Individual
DR. JEREMY WAYNE LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 24TH ST, OPELIKA, AL 36801-6253
(334) 610-2222
(334) 203-1060
Mailing address
101 24TH ST, OPELIKA, AL 36801-6253
(334) 610-2222
(334) 203-1060
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
DO2588
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
09/01/2022
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