# DR. TONYA JUSTICE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689814675
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 03387 | KY | — |
| 208000000X | Pediatrics Physician | 03387 | KY | — |
| 208D00000X | General Practice Physician | 03387 | KY | Yes |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 08/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100177230 | — | KY |