Individual
DEVIANNA GUNAWAN-PON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1460 DISTRIBUTION DR APT 5106, SUWANEE, GA 30024-4390
(850) 490-1138
Mailing address
1460 DISTRIBUTION DR APT 5106, SUWANEE, GA 30024-4390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02260479
GA
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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