Jeffersonr Llc | |
509 Central Ave Ste 243 Laurel MS 39440-3938 | |
(601) 517-2789 | |
Not Available |
Full Name | Jeffersonr Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 509 Central Ave Ste 243, Laurel, Mississippi |
Authorized Official Name and Position | Jefferson Lee Graham Rogers (PSYCHIATRIST) |
Authorized Official Contact | 6015172789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jeffersonr Llc 1481 Grantham Rd Sumrall MS 39482-4089 Ph: (601) 517-2789 | Jeffersonr Llc 509 Central Ave Ste 243 Laurel MS 39440-3938 Ph: (601) 517-2789 |
NPI Number | 1134908072 |
---|---|
Provider Enumeration Date | 09/28/2023 |
Last Update Date | 09/28/2023 |
Certification Date | 09/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134908072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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