Search › South Carolina › 156FX1800X
Tyvon Jefferson
NPI 1881350155 · on the registry since 2021
Practice
- Address
- 237 Brook Pines Dr Apt 11111
Columbia, SC 29210 - Phone
- (843) 617-0997
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-11
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