Provider Demographics
NPI:1679935027
Name:BILLINGS, JUSTIN ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:ALEXANDER
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:777 HEMLOCK ST
Mailing Address - Street 2:MSC 69
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2102
Mailing Address - Country:US
Mailing Address - Phone:478-633-1700
Mailing Address - Fax:478-633-7032
Practice Address - Street 1:777 HEMLOCK ST
Practice Address - Street 2:MSC 69
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2102
Practice Address - Country:US
Practice Address - Phone:478-633-1700
Practice Address - Fax:478-633-7032
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA008442207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program