Individual
DR. SRIDEVI MUTHUKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10710 MEDLOCK BRIDGE RD, 250, JOHNS CREEK, GA 30097-1827
(770) 870-1085
(770) 870-1086
Mailing address
10710 MEDLOCK BRIDGE RD, 250, JOHNS CREEK, GA 30097-1827
(770) 870-1085
(770) 870-1086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
63377
GA
Other
Enumeration date
04/25/2008
Last updated
02/22/2013
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