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NPI Code Detail

MEDICARE: DR. ANDREW AARON GONG MD

MEDICARE: DR. ANDREW AARON GONG MD
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
1208D00000XGeneral Practice Physician62892TN
2208D00000XGeneral Practice Physician334144LA

General Provider Information

NPI Number : 1568950160
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW AARON GONG MD
Provider Business Mailing Address
First Line : 1005 DR DB TODD JR BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37208-3501
Country : US
Telephone Number : 615-327-6611
Fax Number :
Provider Business Practice Location Address
First Line : 2890 DOUGLAS DR # 100
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-5806
Country : US
Telephone Number : 318-742-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2018
Last Update Date : 11/29/2022

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Directions to “ DR. ANDREW AARON GONG MD” Practice Location

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