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1023091964
JOHN AUGUSTAVE CARLSON
MCDONOUGH, GA
NPI
1023091964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 4944)
Enumeration Date
2005-11-23
Last Update Date
2015-03-16
Business Address
-- JOHN AUGUSTAVE CARLSON PAC
259 JONESBORO RD
MCDONOUGH, GA 30253-3769
Phone number: 770-957-8666
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Mailing Address
-- JOHN AUGUSTAVE CARLSON PAC
290 COUNTRY CLUB DR SUITE220
STOCKBRIDGE, GA 30281-9069
Phone number: 678-284-6300
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