IndividualActive
Wendall Jefferson
NPI 1801692462 · Contractor · Phenix City, AL
Wendall Jefferson is a Contractor provider in Phenix City, AL (NPI 1801692462).
Provider details
- NPI number
- 1801692462
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
1719 12th St
Phenix City, AL 36867-6044
Phone: (404) 307-5251
Street-level locationGet directions
Mailing address
1719 12th St
Phenix City, AL 36867-6044
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-03-22
- Certified
- 2025-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.