Individual
ATUL M. DEVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
462 ELMA G MILES PKWY STE 102A, HINESVILLE, GA 31313
(912) 369-9313
Mailing address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
(229) 236-0831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
066590
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112641A
—
GA
05
—
003112641B
—
GA
05
—
003112641C
—
GA
01
—
624838
WELLCARE
GA
05
—
GA1242
—
SC
01
—
P01003836
RAILROAD MEDICARE
GA
Enumeration date
06/12/2008
Last updated
02/18/2019
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