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Individual

DR. JUSTIN ELLIOTT KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4070 HIGHWAY 17, MURRELLS INLET, SC 29576-5033
(843) 652-1293
Mailing address
4070 HIGHWAY 17, MURRELLS INLET, SC 29576-5033

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042-0014893
VT
207Q00000X
Family Medicine Physician
Primary
LL40871
SC
208M00000X
Hospitalist Physician
042-0014893
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL40871
SOUTH CAROLINA BOARD OF MEDICAL EXAMINERS
SC
Enumeration date
05/11/2017
Last updated
07/20/2020
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