Individual
DR. JUSTIN FLYNN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 DOCTORS DRIVE, SUITE 106, DOUGLAS, GA 31533-2203
(912) 384-3338
(912) 384-8214
Mailing address
200 DOCTORS DRIVE, SUITE 106, DOUGLAS, GA 31533-2203
(912) 384-3338
(912) 384-8214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059162
STATE MEDICAL LICENSE
GA
05
—
870694111C
—
GA
Enumeration date
04/04/2007
Last updated
05/20/2014
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