Individual
ALAN JURISICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T. (R)
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6362
Mailing address
411 E 9TH ST # 104, FORT STEWART, GA 31314-5036
(504) 343-5227
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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