Individual
JULIENA L GIGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
835 COGBURN AVE NW STE 100, MARIETTA, GA 30060-1008
(770) 422-5557
(770) 422-8816
Mailing address
835 COGBURN AVE NW STE 250, MARIETTA, GA 30060-1056
(770) 422-5557
(770) 422-8816
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6023
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA STATE LICENSE
6023
GA
Enumeration date
02/25/2011
Last updated
06/12/2020
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