| Doctor Name: | DR. RODNEY K JUSTIN |
| NPI Number: | 1649373069 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 19172 |
| Business Practice Address: | 2711 Randolph Rd Charlotte, NC - 282072034 |
| Business Phone Number: | 7043301700 |
| Business Fax Number: | 7043301716 |
| Mailing Address: | 620 Virginia Dr, WOODLEAF |
| State: | NC |
| Postal Code: | 270549356 |
| Phone Number: | 7042784359 |
| Fax Number: | 7042784782 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 07/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 19172 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |