WENDALL JEFFERSON

Contractor

Active Individual
NPI: 1801692462

Practice Address

1719 12TH ST
Phenix City, AL 36867

Phone: (404) 307-5251

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1801692462 is the National Provider Identifier for WENDALL JEFFERSON, a Contractor provider located in Phenix City, AL. This NPI was enumerated on February 24, 2025.
WENDALL JEFFERSON practices at 1719 12TH ST, Phenix City, AL 36867.

Quick Facts

NPI
1801692462
Type
Individual
Enumerated
Feb 24, 2025
Last Updated
Mar 22, 2025

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