Individual
MISTY JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 SPRADLIN FARM DR, CHRISTIANSBURG, VA 24073-1161
(540) 381-2745
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001498
VA
363A00000X
Physician Assistant
103791
NC
Other
Enumeration date
10/02/2006
Last updated
02/19/2025
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