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Individual

SARAH M JUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA848
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95004727
KY
Enumeration date
05/23/2006
Last updated
04/29/2014
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