Individual provider · Type 1 NPI

Justine Misenga Kandolo, MD

Student in an Organized Health Care Education/Training Program · Douglasville, GA

NPI number 1477448140 Active · reactivated May 28, 2026

Practice location

8954 Hospital Drive
Douglasville, GA 30134

Call (470) 644-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477448140

Justine Misenga Kandolo, MD's National Provider Identifier is 1477448140, issued on Jun 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Douglasville, GA. The record was last updated on May 28, 2026.