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Individual

DR. RONALD EUGENE DEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 COLLIER RD NW, STE 450, ATLANTA, GA 30309-1709
(404) 355-3161
(404) 355-1353
Mailing address
275 COLLIER RD NW, STE 450, ATLANTA, GA 30309-1709
(404) 355-3161
(404) 355-1353

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
51311
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000961078A
GA
01
51311
GA STATE MEDICAL LICENSE
GA
Enumeration date
08/19/2006
Last updated
03/07/2023
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