Individual
MEGAN RANDOLPH JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RSA
Contact information
Practice address
2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3847
(423) 559-6000
Mailing address
162 ABSHIRE LN NE, CLEVELAND, TN 37323-4426
(423) 544-6993
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
111
TN
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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