Provider Demographics
NPI:1811273493
Name:GUFFEY, JEFFREY A (MAED, LAT, ATC)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:A
Last Name:GUFFEY
Suffix:
Gender:M
Credentials:MAED, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 MOUNT HOPE CHU RD
Mailing Address - Street 2:
Mailing Address - City:MC LEANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27301-9243
Mailing Address - Country:US
Mailing Address - Phone:336-207-0026
Mailing Address - Fax:336-674-4254
Practice Address - Street 1:5700 DRAKE RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8824
Practice Address - Country:US
Practice Address - Phone:336-674-4250
Practice Address - Fax:336-674-4254
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11212255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer