Individual
JUSTIN LEE WALDROP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
8501 TANNER WILLIAMS RD, MOBILE, AL 36608-8322
(251) 441-6725
Mailing address
9158 PRAIRIE DR, SEMMES, AL 36575-7270
(251) 645-2681
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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