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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FRED SAMUEL JUSTICE

Active

MR. FRED SAMUEL JUSTICE is a Nurse's Aide healthcare provider located in FLAT ROCK, North Carolina. NPI 1053567065 is currently active in the NPPES registry. Verify at CMS.

Nurse's Aide · FLAT ROCK, NC

Registration Details

NPI Number
1053567065
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2008 (18.033768447289 yrs)
Last Updated
Aug 10, 2008
License
359055 (NC)

Practice Information

Address
2185 DEEP GAP RD
FLAT ROCK, NC, 287315716
Browse NC providers · Browse ZIP 28731
Phone
8286858530
Primary Specialty
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.