Individual
DR. DIVAKAR JAMMALAMADAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2386 CLOWER ST STE C105, SNELLVILLE, GA 30078-6107
(678) 344-0334
(678) 344-0343
Mailing address
2386 CLOWER ST STE C105, SNELLVILLE, GA 30078-6107
(678) 344-0334
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
66378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003118431A
—
GA
Enumeration date
05/20/2008
Last updated
12/10/2019
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