Individual provider · Type 1 NPI

John Brian Duteau, PA

Medical Physician Assistant · Gainesville, GA

NPI number 1710647631 Active

Practice location

200 W Academy St NW
Gainesville, GA 30501-8568

Mailing address

PO Box 2417
Gainesville, GA 30503-2417

Other practice locations

  • 743 Spring St NE, Gainesville, GA 30501-3715 · (770) 219-8721

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700X10869 (GA)
Physician Assistant 363A00000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1710647631

John Brian Duteau, PA's National Provider Identifier is 1710647631, issued on Dec 20, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gainesville, GA. The record was last updated on Dec 15, 2025.