Justin Kyle Willis (NPI# 1639501588, PAC ID# 8325280472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1639501588 |
| PAC ID by PECOS | 8325280472 |
| Professional Enrollment ID | I20130820000498 |
| Full Name | Justin Kyle Willis |
| Address |
2829 Dallas St Nw Kennesaw GA 30144-2705 |
| Gender | M |
| Medical School | SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC |
| Graduation Year | 2013 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2829 Dallas St Nw, Kennesaw, GA 30144-2705 |
| Street Address |
2829 DALLAS ST NW |
| City | KENNESAW |
| State | GA |
| Zip | 30144-2705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorena Jesus | Chiropractic | 501 Roberts Nwct, Kennesaw, GA 30144 | |
| Justin M Tinsley | Chiropractic | 2710 Town Ctr Dr Nw, Suite 104, Kennesaw, GA 30144 | |
| Amy L Reich | Chiropractic | Big Idea Family Chiropractic Center | 3450 Acworth Due W Nwrd, Suite 330, Kennesaw, GA 30144-1002 |
| Lucy Gomez Rosenberg | Chiropractic | 3450 Acworth Due W Nw Rd, Suite 330, Kennesaw, GA 30144-1002 | |
| Michael Miller | Podiatry | 3450 Acworth Due W Rd Nw, Suite 320, Kennesaw, GA 30144-1002 | |
| Steven H Bailey | Hand Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Marcus H Crawford | Plastic and Reconstructive Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Jered M Hull | Chiropractic | 3400 Blue Springs Nwrd, Suite 100, Kennesaw, GA 30144-1079 | |
| Stephen K Green | Chiropractic | 4200 Wade Green Rd, Suite 204, Kennesaw, GA 30144-1237 | |
| Jill G Sebaugh | Clinical Social Worker | 4255 Wade Green Rd, Suite 414, Kennesaw, GA 30144-1244 | |
| Find all physicians in zip 30144 | |||
| City | KENNESAW |
| Zip Code | 30144 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KENNESAW + CHIROPRACTIC |
Please comment or provide details below to improve the information on Justin Kyle Willis.
| 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.