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Dr. Andrew Aaron Gong, MD
General Practice Physician in Bossier City, Louisiana
NPI 1568950160

Andrew Aaron Gong is a General Practice Physician based in Nashville, LA. Andrew Aaron Gong practices in Bossier City, LA and has the professional credentials of MD. The NPI Number for Andrew Aaron Gong is 1568950160 and holds a License No. 62892 (Louisiana).

The current practice location address for Andrew Aaron Gong is 2890 Douglas Dr # 100, Bossier City, LA and can be reached out via phone at 318-742-6900.

Location: 2890 Douglas Dr # 100, Bossier City, LA, 37208-3501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568950160
Provider Name
Andrew Aaron Gong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2890 Douglas Dr # 100, Bossier City, LA, 37208-3501
Phone Number
318-742-6900
Fax Number
Provider Enumeration Date
04/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2890 Douglas Dr # 100
City
Bossier City
State
Louisiana
Zip
71111-5806
Phone Number
318-742-6900
Fax Number
person
Provider Business Mailing Address Details
Address
2890 Douglas Dr # 100
City
Bossier City
State
Louisiana
Zip
71111-5806
Phone Number
318-742-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
62892 (Tennessee)
Definition
Definition to come...
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