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Organization

JOHN W DEVINE, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN W DEVINE MD (OWNER)
(229) 259-4602
Entity
Organization

Contact information

Practice address
209 PENDLETON DR, VALDOSTA, GA 31602-1729
(229) 259-4602
(229) 249-5063
Mailing address
PO BOX 162055, ATLANTA, GA 30321-2055
(229) 259-4602
(229) 249-5063

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
027048
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000311066A
GA
01
235533
BCBS
GA
05
268851400
FL
05
332092
GA
Enumeration date
05/16/2007
Last updated
04/14/2020
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