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Khadijah Jefferson
NPI 1134954191 · on the registry since 2024 · sole proprietor
Practice
- Address
- 7801 Saint Andrews Rd # B1
Irmo, SC 29063 - Phone
- (803) 240-9950
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 164W00000X
372600000X
3747P1801X
376K00000X - Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina