JOHN AUGUSTAVE CARLSON

MCDONOUGH, GA
NPI1023091964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  4944)
Enumeration Date2005-11-23
Last Update Date2015-03-16
Business Address
-- JOHN AUGUSTAVE CARLSON PAC
259 JONESBORO RD
MCDONOUGH, GA 30253-3769
Phone number: 770-957-8666
Mailing Address
-- JOHN AUGUSTAVE CARLSON PAC
290 COUNTRY CLUB DR SUITE220
STOCKBRIDGE, GA 30281-9069
Phone number: 678-284-6300