Individual
DR. PADMINI GUNADEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 BEAVER RUIN RD NW, LILBURN, GA 30047-3413
(770) 923-7778
(770) 806-1383
Mailing address
10600 MEDLOCK BRIDGE RD, DULUTH, GA 30097-8404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044734
GA
Other
Enumeration date
05/09/2006
Last updated
01/14/2023
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