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Contact Information

JEFFREY M DIFFENDERFER, MD, MPH
6600 VAN AALST BLVD
FORT BENNING, GA31905-2102
 Phone: 762-408-1304
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY M DIFFENDERFER · (Male)

NPI # 1114249463
Status Active
Credentials MD, MPH
Entity Individual
Enumeration date 02/26/2010
Last updated 12/12/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01070055A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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