Individual
DR. GAYATHRI K DEVINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
135 VANN ST NE, MARIETTA, GA 30060-7249
(678) 829-6030
Mailing address
240 GLEN LAKE DR, ATLANTA, ATLANTA, GA 30327-4818
(678) 756-3423
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
061573
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710428305
NPI TYPE II
GA
05
—
709382690A
—
GA
Enumeration date
01/28/2008
Last updated
10/26/2022
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