Dr. Justin Elliott Katz
Family Medicine in Murrells Inlet, SC. Individual provider (NPI-1).
NPI number1982131728
StatusActive
Last updated in NPPESJul 20, 2020
Details
- NPI
- 1982131728
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Elliott Katz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2017
- Certification date
- Jul 20, 2020
- Last updated
- Jul 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | LL40871 | SC | Yes |
| 207Q00000X | Family Medicine | 042-0014893 | VT | |
| 208M00000X | Hospitalist | 042-0014893 | VT |
Practice location
4070 Highway 17Murrells Inlet, SC 29576-5033
Phone 843-652-1293
Mailing address
4070 Highway 17Murrells Inlet, SC 29576-5033
Other practice locations
130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Berlin, VT 05602-8132
Phone 802-225-1743
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