Organization
INDIRA DEVU PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIRA DEVU M.D. (PHYSICIAN)
(770) 955-1814
Entity
Organization
Contact information
Practice address
2520 WINDY HILL RD SE STE 306, MARIETTA, GA 30067-8653
(770) 955-1814
(770) 955-2279
Mailing address
2520 WINDY HILL RD SE STE 306, MARIETTA, GA 30067-8653
(770) 955-1814
(770) 955-2279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
052129
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279474230B
—
GA
Enumeration date
12/05/2006
Last updated
10/07/2011
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