Individual
JUSTIN HASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101F W NORTHSIDE DR, VALDOSTA, GA 31602-1700
(229) 262-1981
(229) 375-0392
Mailing address
101F W NORTHSIDE DR, VALDOSTA, GA 31602-1700
(229) 262-1981
(229) 375-0392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN224035
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003184058C
—
GA
Enumeration date
07/22/2016
Last updated
07/13/2020
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