Justin F Southall
Medical Specialty
Professional ID
- NPI: 1346403557
- PECOS ID: 3072653575
- Enrollment ID: I20091214000635
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2007
Medical Practices
- Organization Name: Eastern Shore Chiropractic And Sports Clinic, Inc
- Group Practice ID assigned by PECOS: 8729128228
- Number of Group Practice member: 0
Location
- Address1: 151 Fly Creek Ave
- Address2: Suite 411
- City: Fairhope
- State: Alabama
- Zip Code: 36532
- Phone Number: (251)990-8383
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):