JUSTIN ALAN QUALLS

JACKSON, MS
NPI1669784930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  22402)
Additional Taxonomies208000000X Pediatrics
(Licence: MS  22402)
Enumeration Date2010-07-02
Last Update Date2024-03-25
Business Address
JUSTIN ALAN QUALLS M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-985-5532
Mailing Address
JUSTIN ALAN QUALLS M.D.
312 W LAWSON ST
CLINTON, MS 39056-4116
Phone number: 601-917-8952