Provider Demographics
NPI:1396512430
Name:JOYNER, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:JOYNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SPRINGHILL RD LOT 2
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32347-3706
Mailing Address - Country:US
Mailing Address - Phone:561-323-8900
Mailing Address - Fax:
Practice Address - Street 1:310 SPRINGHILL RD LOT 2
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:FL
Practice Address - Zip Code:32347-3706
Practice Address - Country:US
Practice Address - Phone:561-323-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty