Individual
JAYDEV RANCHODJI VARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6430 OLDE ATLANTA PKWY, SUWANEE, GA 30024-4258
(678) 947-8459
Mailing address
6430 OLDE ATLANTA PKWY, SUWANEE, GA 30024-4258
(678) 947-8459
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19356
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/18/2007
Last updated
07/08/2007
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