Individual
JULIAN C GIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 ARROWHEAD BLVD, JONESBORO, GA 30236-1254
(770) 478-9877
(770) 478-2908
Mailing address
136 SOUTHGATE BLVD, MCDONOUGH, GA 30253-8035
(678) 289-6483
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1453
GA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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