LANCE JORDAN WIIST

LAWRENCEVILLE, GA
NPI1487708103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: GA  033754)
Enumeration Date2007-01-22
Last Update Date2011-12-16
Business Address
LANCE JORDAN WIIST M.D.
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046-4317
Phone number: 770-513-4000
Mailing Address
LANCE JORDAN WIIST M.D.
761 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046-4317
Phone number: 770-513-4000
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