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Individual

DEVI SAMPAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-5700
(770) 718-1877
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(707) 181-1227
(770) 533-4786

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
89007
GA
207RX0202X
Medical Oncology Physician
Primary
89007
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2015
Last updated
08/08/2022
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