Most Relevant Information
Provider Data
| NPI Number: | 1003059502 |
| Provider Name: | JUSTIN THOMAS DAUGHTRY D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 5101018326 |
Most Important Dates
| Enumeration Date: | 04/13/2009 |
| Last Updated: | 01/17/2024 |
Provider Practice Location
100 BREWSTER BLVD
CAMP LEJEUNE
NC
285472575
Practice Location Phone/Fax
| Phone: | 9104504841 |
| Fax: |
Provider Mailing Location
106 BARGATE DR
NEW BERN
NC
285628412
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |