Tiffany Deborah Justice
Obstetrician & Gynecologist Reproductive Endocrinologist
4612 Chamberlain Ln Ste 200
Louisville
, Kentucky 40241-1071
Tiffany Deborah Justice
Obstetrician & Gynecologist Reproductive Endocrinologist
4612 Chamberlain Ln Ste 200
Louisville
, Kentucky 40241-1071
(502) 996-4481
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About
Features
Specialties
- Obstetrician & Gynecologist
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Tiffany Deborah Justice
- 4612 Chamberlain Ln Ste 200
- Louisville, KY
- Zip : 40241-1071
- Fax : (502) 996-4481
- Phone : (502) 996-4480
Second Address
- Tiffany Deborah Justice
- 4612 Chamberlain Ln Ste 200
- Louisville, KY
- Zip : 40241-1071
- Fax : (502) 996-4481
- Phone : (502) 996-4480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 43562 | KY |
| Y | 207VE0102X | Reproductive Endocrinologist | 43562 | KY |
National Provider Identifier
| NPI | 1447393046 |
|---|---|
| Provider Name | Tiffany Deborah Justice |
| First Address | Louisville, KY 40241-1071 |
| Second Address | Louisville, KY 40241-1071 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2007 |
| Last Update Date | 11/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000665914 | ANTHEM FONDATION LOCATION (01) | KY |
| 000000665986 | ANTHEM PSC LOCATION (01) | KY |
| 200983310 | (05) | IN |
| 50029221 | PASSPORT SPECIALIST & SPECIALIST PAD# FOR FOUNDATION (01) | KY |
| 50029222 | PCP FOUNDATION & PCP PAD# (01) | KY |
| 50029224 | PASSPORT SPECIALIST & PASSPORT ADVANTAGE (PAD)#- PSC LOCATION (01) | KY |
| 7100126700 | (05) | KY |
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.