Justin Daniel Needham M.D.

NPI 1699923516 - General Practice - 208D00000X

NPI Details
NPI 1699923516
Gender Male
Enumeration Date 09/04/2008
Last Updated 07/09/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
1061 HARMON AVE
FORT STEWART GA, 31314-5641, US
Phone (912) 435-6633
Fax
Business Location
1061 HARMON AVE
FORT STEWART GA, 31314-5641, US
Phone (912) 435-6633
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Nebraska
License Number 24771
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According to our database, Dr. Justin Daniel Needham M.D. NPI is 1699923516, taxonomy code is 208D00000X and license number is 24771, license state is located at Nebraska. Justin Daniel Needham M.D. physically located at 1061 Harmon Ave, Fort Stewart GA, 31314-5641. NPI Number Justin Daniel Needham M.D. has the Individual type.

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1699923516 NPI number is provided on an as is basis without warranty of any kind. 1699923516 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Daniel Needham M.D. are for informational purposes only.