Caughron, Justin Derek

Caughron, Justin Derek is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Caughron, Justin Derek can be contacted via phone (678) 312-4440.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-7694
Phone: (678) 312-4440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X N2024 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 068491 Georgia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 68491 Georgia

Profile Details

NPI number 1477711919
LBN Legal business name Caughron, Justin Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2008
Last updated May 27th, 2021 - about 3 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 1477711919 NPPES
Georgia MEDICAID 003153633

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