Individual
DR. JUSTIN DAVID WESTERVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5700
(601) 268-5777
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5700
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23758
MS
207RN0300X
Nephrology Physician
26227
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05384868
—
MS
Enumeration date
04/28/2008
Last updated
07/09/2020
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