Individual
JERROD JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 NATIONWIDE DR, LYNCHBURG, VA 24502-4271
(434) 239-7890
Mailing address
114 NATIONWIDE DR, LYNCHBURG, VA 24502-4271
(434) 239-7890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101268679
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
06/10/2020
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