Justice, David A
Justice, David A is an sole proprietor health care provider with primary practice located at 1278 N Lafayette Dr , Sumter SC 29150-2964. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Justice, David A can be contacted via phone (803) 774-4500.Contact Information
Primary practice address
1278 N Lafayette Dr
Sumter SC 29150-2964
Phone: (803) 774-4500
Fax: (803) 774-4650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 16179 | South Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 16179 | South Carolina |
Profile Details
| NPI number | 1649290362 |
|---|---|
| LBN Legal business name | Justice, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jun 8th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649290362 | NPPES |
| South Carolina | MEDICAID | 161791 |
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