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Individual

DR. PENNIFORD LOUISE JUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
VA MEDICAL CENTER, 1030 JEFFERSON AVENUE, MEMPHIS, TN 38104
(901) 523-8990
Mailing address
VA MEDICAL CENTER, 1030 JEFFERSON AVENUE, MEMPHIS, TN 38104
(901) 523-8990

Taxonomy

Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
11309
MT
2081P0004X
Spinal Cord Injury Medicine Physician
4301045252
MI
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
MD0000028030
TN
2081P0004X
Spinal Cord Injury Medicine Physician
ME49377
FL

Other

Enumeration date
08/21/2006
Last updated
07/16/2007
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