MEDICARE: DR. JUSTIN LUKE GETTINGS M.D

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
1	2084P0805X	Geriatric Psychiatry Physician	036129989	IL
2	2084P0800X	Psychiatry Physician	2017-00229	NC

General Provider Information

NPI Number	:	1184957201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN LUKE GETTINGS M.D

Provider Business Mailing Address
First Line	:	1152 GREAT RIDGE PKWY
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-4097
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY OF NORTH CAROLINA
Second Line	:	CB# 7160
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7160
Country	:	US
Telephone Number	:	919-966-4764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2009
Last Update Date	:	08/25/2021

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