Individual
DEV PADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
922 E JEFFERSON ST, SUITE B, AMERICUS, GA 31709-4780
(347) 930-1389
Mailing address
106 MACON ST, OGLETHORPE, GA 31068-4445
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06231984
PHOEBE SUMTER MEDICAL CENTER
—
Enumeration date
04/04/2012
Last updated
04/04/2012
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