Individual provider · NPI-1

Allysja Jhordana Duncan, PA

Physician Assistant · Lithonia, GA

NPI number1174174593
StatusActive
Last updated in NPPESJul 3, 2023

Details

NPI
1174174593
Entity type
Individual (NPI-1)
Name
Ms. Allysja Jhordana Duncan
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 26, 2019
Certification date
Jul 3, 2023
Last updated
Jul 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10198GAYes
363A00000X Physician Assistant––
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2801 Dekalb Medical Pkwy
Lithonia, GA 30058-4996

Phone 404-501-8000

Mailing address

2801 Dekalb Medical Pkwy
Lithonia, GA 30058-4996

Other practice locations

275 Collier Rd Nw Ste 300
Atlanta, GA 30309-1740

Phone 404-350-0009

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