JULIAN C GIST

JONESBORO, GA
NPI1669577144
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  1453)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
-- JULIAN C GIST
405 ARROWHEAD BLVD
JONESBORO, GA 30236-1254
Phone number: 770-478-9877
Mailing Address
-- JULIAN C GIST
136 SOUTHGATE BLVD
MCDONOUGH, GA 30253-8035
Phone number: 678-289-6483