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JUSTIN JEREMIAH CHIN D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1154825552

Individual Registrant:
 JUSTIN JEREMIAH CHIN D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
655 7TH ST BLDG 700  ROBINS AFB, GA 31098-2227 US
Tel: 478-497-7812  Fax: --

Contact information for business:
307 BOATNER RD  EGLIN AFB, FL 32542-1302 US
Tel: --  Fax: --

Registration Information:
NPI: 1154825552
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA89375

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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