Organization
GREENBRIER SIGNATURE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILLIAN JUSTICE DO (PRESIDENT)
(304) 536-4870
Entity
Organization
Contact information
Practice address
40823 MIDLAND TRL E, WHITE SULPHUR SPRINGS, WV 24986-5064
(304) 536-4870
(304) 536-7857
Mailing address
40823 MIDLAND TRL E, WHITE SULPHUR SPRINGS, WV 24986-5064
(304) 536-4870
(304) 536-7857
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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