Jeffers, Robert Gordon

Jeffers, Robert Gordon is an individual health care provider with primary practice located at 2406 Blue Ridge Rd Suite 100, Raleigh NC 27607-6678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Jeffers, Robert Gordon can be contacted via phone (919) 786-5001.

Contact Information

Primary practice address
2406 Blue Ridge Rd Suite 100 Raleigh NC 27607-6678
Phone: (919) 786-5001
Fax: (919) 786-5051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 26274 North Carolina

Profile Details

NPI number 1659341048
LBN Legal business name Jeffers, Robert Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659341048 NPPES
North Carolina MEDICAID 8945876

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