| Doctor Name: | MS. LESLIE R JUSTICE |
| NPI Number: | 1033211321 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC, CNS |
| License Number: | 2210 |
| Business Practice Address: | 1278 N Lafayette Dr Sumter, SC - 291502964 |
| Business Phone Number: | 8037744500 |
| Business Fax Number: | |
| Mailing Address: | 1278 N Lafayette Dr, SUMTER |
| State: | SC |
| Postal Code: | 291502964 |
| Phone Number: | 8037744500 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 05/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | 2210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |