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Contact Information

JUSTIN D CAUGHRON, MD
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA30046-7694
 Phone: 678-312-4440
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JUSTIN D CAUGHRON · (Male)

NPI Number 1477711919
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2008
Last updated 05/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 068491
  • GA License # 68491
  • TX License # N2024
  • GA Medicaid 003153633
Hospital affiliation(s)
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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