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NPI Code Detail

MEDICARE: DR. JUSTIN EDWARD ASBURY D.O.

MEDICARE: DR. JUSTIN EDWARD ASBURY D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDO0000002240TN
2207Q00000XFamily Medicine Physician0116020621VA
3207Q00000XFamily Medicine Physician201401070NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14309333OTHERTNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033370192
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN EDWARD ASBURY D.O.
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 910-721-4100
Fax Number : 910-721-4101
Provider Business Practice Location Address
First Line : 501 OLDE WATERFORD WAY
Second Line :
City : LELAND
State : NC
Zip : 28451-4117
Country : US
Telephone Number : 910-408-1130
Fax Number : 910-754-8526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2008
Last Update Date : 01/02/2026

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