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NPI Code Detail

MEDICARE: ANDREW THANH DUONG PA-C

MEDICARE: ANDREW THANH DUONG PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1053263236
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW THANH DUONG PA-C
Provider Business Mailing Address
First Line : 3001 MERCER UNIVERSITY DR
Second Line :
City : ATLANTA
State : GA
Zip : 30341-4115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3001 MERCER UNIVERSITY DR
Second Line :
City : ATLANTA
State : GA
Zip : 30341-4115
Country : US
Telephone Number : 713-452-0269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 05/30/2026

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Directions to “ ANDREW THANH DUONG PA-C” Practice Location

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