Individual
DR. REGINA P JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2462 HIGHWAY 34 EAST, SUITE A, NEWNAN, GA 30265
(770) 683-5437
(770) 683-3758
Mailing address
2462 HIGHWAY 34 EAST, SUITE A, NEWNAN, GA 30265
(770) 683-5437
(770) 683-3758
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047777
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000912975N
—
GA
Enumeration date
05/27/2006
Last updated
04/04/2013
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