Individual
JOHN DAVID KLISCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
620 WILLOW OAK WAY, ROSWELL, GA 30076-6420
(770) 853-1432
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
11304
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
06/24/2022
Last updated
11/14/2022
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