Individual
DR. JUSTIN DEWILLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9560
Mailing address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
73556
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2010
Last updated
01/18/2022
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