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Julian C Gist, CAA

Anesthesiologist Assistant in Stockbridge, GA. Individual provider (NPI-1).

NPI number1669577144
StatusActive
Last updated in NPPESAug 19, 2026

Details

NPI
1669577144
Entity type
Individual (NPI-1)
Name
Julian C Gist
Credential
CAA
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 13, 2006
Certification date
Aug 19, 2026
Last updated
Aug 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant1453GAYes

Practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Phone 678-604-1500

Mailing address

136 Southgate Blvd
Mcdonough, GA 30253-8035

Phone 678-289-6483

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