Provider Demographics
NPI:1184416364
Name:ARTIS, JUSTICE LASHAY
Entity type:Individual
Prefix:
First Name:JUSTICE
Middle Name:LASHAY
Last Name:ARTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 WATERCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:LONGS
Mailing Address - State:SC
Mailing Address - Zip Code:29568-6775
Mailing Address - Country:US
Mailing Address - Phone:910-988-7033
Mailing Address - Fax:252-253-9903
Practice Address - Street 1:631 WATERCLIFF DR
Practice Address - Street 2:
Practice Address - City:LONGS
Practice Address - State:SC
Practice Address - Zip Code:29568-6775
Practice Address - Country:US
Practice Address - Phone:910-988-7033
Practice Address - Fax:252-253-9903
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)