Individual
JUSTEN T DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 MICHAEL ST NE STE 205, ATLANTA, GA 30322-1047
(404) 712-2970
Mailing address
615 MICHAEL ST NE STE 205, ATLANTA, GA 30322-1047
(404) 712-2970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02006741A
IN
207RI0200X
Infectious Disease Physician
02006741A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
05/21/2025
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