Individual
WILEY HUGH JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5721 USA NORTH DR, HAHN 1119, MOBILE, AL 36688-0002
(251) 445-9378
(251) 445-9377
Mailing address
PO BOX 40277, MOBILE, AL 36688-0277
(251) 445-9378
(251) 445-9377
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00007930
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000034502
—
AL
01
—
4006616
AETNA PROVIDER #
AL
01
—
51034502
BLUE CROSS PROVIDER #
AL
01
—
51511917
BLUE CROSS AL PROVIDER #
AL
01
—
C71226
HEALTHSPRING PROVIDER #
AL
Enumeration date
06/14/2005
Last updated
06/04/2015
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