JOHNATHON J RAST

AUGUSTA, GA
NPI1750067633
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  15210)
Enumeration Date2023-06-26
Last Update Date2023-06-26
Business Address
JOHNATHON J RAST
1120 15TH STREET BI 5070
AUGUSTA, GA 30912
Phone number: 706-721-2423
Mailing Address
JOHNATHON J RAST
922 BURLINGTON DR
EVANS, GA 30809
Phone number: 678-527-9153
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