Provider Demographics
NPI:1508228719
Name:ZERFAS, JEFFREY (ATC)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:
Last Name:ZERFAS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WIRE RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36849-5419
Mailing Address - Country:US
Mailing Address - Phone:334-844-4483
Mailing Address - Fax:
Practice Address - Street 1:9240 TREADWELL DR
Practice Address - Street 2:
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-5900
Practice Address - Country:US
Practice Address - Phone:785-650-4835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-26
Last Update Date:2016-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0027212255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer