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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WENDALL KEITH JEFFERSON

Active

Contractor · PHENIX CITY, AL

Registration Details

NPI Number
1801692462
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2025 (1.1809732527618 yrs)
Last Updated
Mar 22, 2025

Practice Information

Address
1719 12TH ST
PHENIX CITY, AL, 368676044
Browse AL providers · Browse ZIP 36867
Phone
4043075251
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in PHENIX CITY, AL

Name Credential NPI
MS. JANEE KEITH 1871702399
BOBBIE KELLY 1750852893
SHEENA JANEA MORRIS 1124586193
LATASHA A GREEN 1962960740
MELEESA GEATHERS 1093371940
DEYANNA JOHNSON MS 1548937899
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.