Individual
ANNA SUMMERLIN JUSTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-2954
(706) 550-7228
(706) 322-1718
Mailing address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-2954
(706) 550-7228
(706) 322-1718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5121
STATE LICENSE NUMBER
GA
Enumeration date
09/04/2007
Last updated
12/05/2014
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