(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003558024
Provider Name: JUSTINA LI VEGA PA-C
Entity Type: Individual
Taxonomy Code: 363A00000X
Specialty: Physician Assistant
License Number: 11301
Most Important Dates
Enumeration Date: 04/11/2022
Last Updated: 11/20/2023
Provider Practice Location
655 JESSE JEWELL PKWY SE
GAINESVILLE
GA
305013854
Practice Location Phone/Fax
Phone: 7705337288
Fax: 7705349800
Provider Mailing Location
748 OLD NORCROSS RD STE 100
LAWRENCEVILLE
GA
300463394
Provider Mailing Phone/Fax
Phone: 7703391500
Fax: 7703393528