Individual
TIFFANY DEBORAH JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4123 DUTCHMANS LANE, SUITE 414, LOUISVILLE, KY 40207-4733
(502) 897-2144
(502) 897-1773
Mailing address
4123 DUTCHMANS LANE, SUITE 414, LOUISVILLE, KY 40207-4733
(502) 897-2144
(502) 897-1773
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
43562
KY
207VE0102X
Reproductive Endocrinology Physician
43562
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000665914
ANTHEM FONDATION LOCATION
KY
01
—
000000665986
ANTHEM PSC LOCATION
KY
05
—
200983310
—
IN
01
—
50029221
PASSPORT SPECIALIST & SPECIALIST PAD# FOR FOUNDATION
KY
01
—
50029222
PCP FOUNDATION & PCP PAD#
KY
01
—
50029224
PASSPORT SPECIALIST & PASSPORT ADVANTAGE (PAD)#- PSC LOCATION
KY
05
—
7100126700
—
KY
Enumeration date
02/14/2007
Last updated
06/30/2023
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