Justice, William Robert

Justice, William Robert is an individual health care provider with primary practice located at 1600 22Nd Avenue Medical Towers 3, Third Floor, Suite B, Meridian MS 39301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Justice, William Robert can be contacted via phone (601) 703-8370.

Contact Information

Primary practice address
1600 22Nd Avenue Medical Towers 3, Third Floor, Suite B Meridian MS 39301
Phone: (601) 703-8370
Fax: (601) 703-8397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25857 Mississippi

Profile Details

NPI number 1124480033
LBN Legal business name Justice, William Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Nov 21st, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124480033 NPPES
Mississippi MEDICAID 07126570

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