Individual
HIEU Q DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-3031
(404) 712-2000
Mailing address
170 BOULEVARD SE APT H527, ATLANTA, GA 30312-2395
(714) 675-2856
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11063
GA
363A00000X
Physician Assistant
11063
GA
Other
Enumeration date
09/20/2022
Last updated
02/21/2024
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