MEDICARE: JAMES JEFFRIES

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1851913891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES JEFFRIES

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7150 MARKET ST STE 120
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-9888
Country	:	US
Telephone Number	:	910-686-1604
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2020
Last Update Date	:	05/13/2020

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Directions to “ JAMES JEFFRIES ” Practice Location

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