Organization
JUST US KIDS PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA JUSTICE M.D. (CEO/OWNER)
(678) 491-7657
Entity
Organization
Contact information
Practice address
2462 HIGHWAY 34 EAST, SUITE A, NEWNAN, GA 30265
(770) 683-5437
(770) 683-3758
Mailing address
2462 HIGHWAY 34 EAST, SUITE A, NEWNAN, GA 30265
(770) 683-5437
(770) 683-3758
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
GA
261QP2300X
Primary Care Clinic/Center
47777
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073560959
INDIVIDUAL NPI
—
01
—
47777
GEORGIA LICENSE
GA
Enumeration date
04/20/2012
Last updated
03/07/2023
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