COURTNEY AUGUSTA JUSTICE PA-C NPI 1700547411

NPI Information

NPI: 1700547411
Provider Name: COURTNEY AUGUSTA JUSTICE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1229 NEXTON PKWY # A
SUMMERVILLE, SC
ZIP 29486
Phone: (843) 585-3577
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Courtney Augusta Justice, PA-C is a medical physician assistant in Summerville, SC with 1 years of experience. Courtney Augusta Justice, PA-C NPI is 1700547411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:2023

The provider's business location address is:

1229 NEXTON PKWY # A
SUMMERVILLE, SC
ZIP 29486-167
Phone: (843) 585-3577

The NPI 1700547411 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 1/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5054	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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