Justice, Regina P
Justice, Regina P is an sole proprietor health care provider with primary practice located at 2462 Highway 34 East Suite A, Newnan GA 30265. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Justice, Regina P can be contacted via phone (770) 683-5437.Contact Information
Primary practice address
2462 Highway 34 East Suite A
Newnan GA 30265
Phone: (770) 683-5437
Fax: (770) 683-3758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 047777 | Georgia |
Profile Details
| NPI number | 1073560959 |
|---|---|
| LBN Legal business name | Justice, Regina P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Apr 4th, 2013 - about 11 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 | 1073560959 | NPPES |
| Georgia | MEDICAID | 000912975N |
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