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Runnie Jefferson
NPI 1225366487 · on the registry since 2009 · sole proprietor
Practice
- Address
- 996 Palmer Rd
Memphis, TN 38116 - Phone
- (980) 133-2040
- Fax
- (901) 332-0402
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-30
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 Tennessee