Gondwe, Justice Aaron

Gondwe, Justice Aaron is an sole proprietor health care provider with primary practice located at 965 J K Avent Dr Suite 106, Grenada MS 38901-5045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Gondwe, Justice Aaron can be contacted via phone (662) 227-6450.

Contact Information

Primary practice address
965 J K Avent Dr Suite 106 Grenada MS 38901-5045
Phone: (662) 227-6450
Fax: (662) 227-6452
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 20373 Mississippi

Profile Details

NPI number 1912928086
LBN Legal business name Gondwe, Justice Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Dec 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912928086 NPPES
Iowa MEDICAID 0491951
Iowa Other 25140
Iowa MEDICAID 3116087

Popular Providers