Wiley Justice
Medical Specialty
Professional ID
- NPI: 1083619332
- PECOS ID: 1355458613
- Enrollment ID: I20110207000152
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1975
Hospital Service
- Hospital CCN1: 010113
- Business Name (LBN)1: Mobile Infirmary Medical Center
Medical Practices
- Organization Name: University Of South Alabama
- Group Practice ID assigned by PECOS: 3072425149
- Number of Group Practice member: 269
Location
- Address1: 51 Stadium Dr
- Address2: Suite 218
- City: Mobile
- State: Alabama
- Zip Code: 36688
- Phone Number: (251)461-1969
Location
- Address1: 5721 Usa N Dr
- Address2:
- City: Mobile
- State: Alabama
- Zip Code: 36688
- Phone Number: (251)445-9378
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):