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Individual

DR. MICHAEL E JUSTICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
10360 MEDLOCK BRIDGE RD, DULUTH, GA 30097-5927
(770) 476-1220
(770) 232-0394
Mailing address
10360 MEDLOCK BRIDGE RD, DULUTH, GA 30097-5927
(770) 476-1220
(770) 232-0394

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1162-T
GA

Other

Enumeration date
08/21/2006
Last updated
07/08/2007
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