Organization
JEFFERS MANN & ARTMAN PEDIATRIC & ADOLESENT MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA WALKER JEFFERS (ADMINSTRATION)
(919) 786-5001
Entity
Organization
Contact information
Practice address
2406 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607-6678
(919) 786-5001
(919) 786-5051
Mailing address
2406 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607-6678
(919) 786-5001
(919) 786-5051
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157J
BLUE CROSS BLUE SHIELD ID
NC
05
—
590157J
—
NC
Enumeration date
04/12/2006
Last updated
03/21/2017
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