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Wendall Jefferson

NPI 1801692462 · on the registry since 2025

Practice

Address
1719 12th St
Phenix City, AL 36867
Phone
(404) 307-5251

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-22

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 Alabama