SearchGeorgia225200000X

Gustave Jean-Louis

NPI 1922248244 · on the registry since 2009 · sole proprietor

Practice

Address
965 Havenstone Walk
Lawrenceville, GA 30045
Phone
(770) 736-6383

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia