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NPI Code Detail

MEDICARE: MR. TERRY E JEFFRIES PA-C

MEDICARE:  MR. TERRY E JEFFRIES  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1659535060
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TERRY E JEFFRIES PA-C
Provider Business Mailing Address
First Line : 1175 LIGHTWOOD KNOT RD
Second Line :
City : WOODRUFF
State : SC
Zip : 29388-9129
Country : US
Telephone Number : 801-560-3321
Fax Number :
Provider Business Practice Location Address
First Line : 1175 LIGHTWOOD KNOT RD
Second Line :
City : WOODRUFF
State : SC
Zip : 29388-9129
Country : US
Telephone Number : 801-560-3321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2008
Last Update Date : 04/03/2026

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Directions to “ MR. TERRY E JEFFRIES PA-C” Practice Location

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