| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JUSTIN LITTLE | 1083260509 | 2022-12-03 |
Justin Little is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083260509. Registration indicates Justin Little is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Justin Little MD |
| Practice Office Address | ONE MEDICAL CENTER BLVD WINSTON SALEM, NC US |
| Practice Office Telephone | 3367166410 |
| Mailing Address | ONE MEDICAL CENTER BLVD WINSTON SALEM, NC 271570001 US |
| Business Telephone | 3367166410 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1250 E 66th St | Savannah, GA 314045704 | 7705005269 |
| 809 82nd Pkwy | Myrtle Beach, SC 295724607 | 8436924403 |
| Code | Practice | License No State |
|---|---|---|
| 2085R0202X | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | RTL21-0033
NC |
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |