IndividualActive
Larry Jefferson
NPI 1881580819 · Intermediate Emergency Medical Technician · Columbus, MS
Provider details
- NPI number
- 1881580819
- Entity type
- Individual
- Primary specialty
- Intermediate Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 801522422 (MS)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
342 Sylvan Rd
Columbus, MS 39702-3014
Phone: (662) 364-0578
Approximate (ZIP-level) locationGet directions
Mailing address
342 Sylvan Rd
Columbus, MS 39702-3014
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.