Individual
ANTOINETTE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
184 S MAYO TRL, PIKEVILLE, KY 41501-1518
(606) 218-4800
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-4800
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
03474
KY
207Q00000X
Family Medicine Physician
Primary
03474
KY
Other
Enumeration date
05/25/2010
Last updated
07/11/2014
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