Individual
MR. JUSTIN JOHN DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 60968, CHARLOTTE, NC 28260-0968
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
104024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00372149
RAILROAD MEDICARE
NC
Enumeration date
11/11/2005
Last updated
07/08/2007
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