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Individual

EDGAR LOWELL JUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-3304
(229) 758-6622
Mailing address
208 N CUTHBERT ST, PO BOX 7, COLQUITT, GA 39837-3517
(229) 758-3304
(229) 758-6622

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014520
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00016475E
GA
Enumeration date
12/19/2006
Last updated
06/16/2009
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