Mr. Justin Thomas Daughtry
Emergency Physician
317 Western Blvd
Jacksonville
, North Carolina 28546-6338
Mr. Justin Thomas Daughtry
Emergency Physician
317 Western Blvd
Jacksonville
, North Carolina 28546-6338
(910) 577-2345
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Mr. Justin Thomas Daughtry
- 317 Western Blvd
- Jacksonville, NC
- Zip : 28546-6338
- Phone : (910) 577-2345
Second Address
- Mr. Justin Thomas Daughtry
- 317 Western Blvd
- Jacksonville, NC
- Zip : 28546-6338
- Phone : (910) 577-2345
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 5101018326 | MI |
National Provider Identifier
| NPI | 1003059502 |
|---|---|
| Provider Name | Mr. Justin Thomas Daughtry |
| First Address | Jacksonville, NC 28546-6338 |
| Second Address | Jacksonville, NC 28546-6338 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2009 |
| Last Update Date | 26/06/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.