Individual
DR. INOKA ABEYSIRI DEVAPRIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MYRTLE BLVD, 103B, GRACEWOOD, GA 30812
(706) 790-2011
Mailing address
100 MYRTLE BLVD, 103B, GRACEWOOD, GA 30812
(706) 790-2011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT208551
PA
208D00000X
General Practice Physician
Primary
077723
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2015
Last updated
03/17/2018
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