Most Relevant Information
Provider Data
| NPI Number: | 1003644352 |
| Provider Name: | JEFFERY BERNARD BAXTER |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: | 8164561 |
Most Important Dates
| Enumeration Date: | 07/25/2024 |
| Last Updated: | 07/25/2024 |
Provider Practice Location
404 FALCON CIR
SHELBY
NC
281504923
Practice Location Phone/Fax
| Phone: | 9803206537 |
| Fax: |
Provider Mailing Location
404 FALCON CIR
SHELBY
NC
281504923
Provider Mailing Phone/Fax
| Phone: | 9803206537 |
| Fax: |