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Individual

MR. JOHN BRIAN DUTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
200 W ACADEMY ST NW, GAINESVILLE, GA 30501-8568
(770) 282-8820
Mailing address
PO BOX 2417, GAINESVILLE, GA 30503-2417
(770) 282-8820

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
10869
GA
363AM0700X
Medical Physician Assistant

Other

Enumeration date
12/20/2021
Last updated
12/15/2025
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