| Ajaz LLC | |
|
600 Rue Dauphine Ocean Springs MS 39564-3048 | |
| (228) 327-0706 | |
| Not Available |
| Full Name | Ajaz LLC |
|---|---|
| Speciality | General Practice |
| Location | 600 Rue Dauphine, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Adam Justice (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2283270706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajaz LLC 600 Rue Dauphine Ocean Springs MS 39564-3048 | Ajaz LLC 600 Rue Dauphine Ocean Springs MS 39564-3048 Ph: (228) 327-0706 |
| NPI Number | 1558224188 |
|---|---|
| Provider Enumeration Date | 12/09/2025 |
| Last Update Date | 12/09/2025 |
| Certification Date | 12/09/2025 |
| Medicare PECOS PAC ID | 0446745806 |
|---|---|
| Medicare Enrollment ID | O20251223001567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558224188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Adam Eugene Justice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265675664 PECOS PAC ID: 4385823046 Enrollment ID: I20120926000753 |
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