Individual
SRIDEVI AGASTHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060
(707) 937-7750
(770) 793-7755
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(707) 793-7750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
061498
GA
208M00000X
Hospitalist Physician
Primary
061498
GA
Other
Enumeration date
07/13/2007
Last updated
10/02/2019
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