Leroy Justice is a General Practice in Sparta, Georgia. Leroy Justice practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leroy Justice is 1619185576. The last update date is 2007-07-12.
Leroy Justice's current location address is 12900 Broad St, Sparta, Georgia. You can contact this provider via phone number 7064446886 and fax number 7064447779. The mailing address for Leroy Justice is 12900 Broad St, Sparta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leroy Justice |
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Address | 12900 Broad St, Sparta, Georgia |
Phone Number | 7064446886 |
Fax Number | 7064447779 |
Sole Proprietor | N |
Credentials | .D.D.S |
NPI Number Detail
NPI Number | 1619185576 |
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Provider Enumeration Date | 2007-05-21 |
Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
Address | 12900 Broad St |
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City | Sparta |
State | Georgia (GA) |
Post Code | 310871737 |
Phone Number | 7064446886 |
Fax Number | 7064447779 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 8775 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00254493A | GA | -- | |
00254943B | GA | -- |
Post Comment/ Review Below
What is the Leroy Justice's 1619185576?
The Leroy Justice's NPI (National Provider Identifier) Number is 1619185576. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Leroy Justice's physical address?
The Leroy Justice is physically located at 12900 Broad St, in the city of Sparta, GA, with the postal code 310871737.
What is the area of specialization for Leroy Justice, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leroy Justice is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619185576 to Leroy Justice?
The Centers for Medicare & Medicaid Services originally issued the 1619185576 to Leroy Justice on 2007-05-21.
When was the information related to Leroy Justice most recently updated or refreshed?
The details pertaining to the Leroy Justice, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-12.