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Individual

TODD WESLEY DEAVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1649
(404) 836-0136
(404) 850-8695
Mailing address
1325 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1649
(404) 836-0136
(404) 850-8695

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71189
GA

Other

Enumeration date
07/01/2011
Last updated
08/15/2023
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