Andrew C Justice (NPI# 1568610806, PAC ID# 0547320145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1568610806 |
PAC ID by PECOS | 0547320145 |
Professional Enrollment ID | I20081126000335 |
Full Name | Andrew C Justice |
Address |
1495 Maple Rd Nettleton MS 38858-6026 |
Gender | M |
Graduation Year | 2008 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
251302 | MONROE REGIONAL HOSPITAL |
250025 | GILMORE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
400 S Chestnut St, Aberdeen, MS 39730-3335 | 6623692455 | BOA VIDA HOSPITAL OF ABERDEEN MS LLC |
1495 Maple Rd, Nettleton, MS 38858-6026 |
Street Address |
1495 MAPLE RD |
City | NETTLETON |
State | MS |
Zip | 38858-6026 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Anthony Mcbryde | Physical Therapy | Pro Pt | 230 Main St, Suite A, Nettleton, MS 38858-6012 |
Neil Robert Wanee | Family Medicine | Access Family Health Services, Inc. | 182 W Main St, Access Family Health Nettleton Cl, Nettleton, MS 38858-6075 |
Katherine Elizabeth Davis | Nurse Practitioner | Access Family Health Services, Inc. | 182 W Main St, Access Family Health Nettleton Cl, Nettleton, MS 38858-6075 |
City | NETTLETON |
Zip Code | 38858 |
Specialty | NURSE PRACTITIONER |
City + Specialty | NETTLETON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Andrew C Justice.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.