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Individual

WILLIAM ROBERT JUSTICE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 22ND AVENUE, MEDICAL TOWERS 3, THIRD FLOOR, SUITE B, MERIDIAN, MS 39301
(601) 703-8370
(601) 703-8397
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(901) 226-3186
(901) 226-3160

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25857
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07126570
MS
Enumeration date
03/22/2016
Last updated
11/06/2024
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