person
John William Devine, MD
Therapeutic Radiology Physician in Valdosta, Georgia
NPI 1578566964

John William Devine is a Therapeutic Radiology Physician based in Valdosta, GA and is specialized in Therapeutic Radiology. John William Devine practices in Valdosta, GA and has the professional credentials of MD. The NPI Number for John William Devine is 1578566964 and holds a License No. 027048 (Georgia).

The current practice location address for John William Devine is 2501 N Patterson St, Valdosta, GA and can be reached out via phone at 229-259-4602 and via fax at 229-249-5063. You can also correspond with John William Devine through the mailing address at PO BOX 3606, VALDOSTA, GA - 31604-3606 (mailing address contact number: 229-259-4602).

Location: 2501 N Patterson St, Valdosta, GA, 31604-3606
person
Provider Profile Details
NPI Number
1578566964
Provider Name
John William Devine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2501 N Patterson St, Valdosta, GA, 31604-3606
Phone Number
229-259-4602
Fax Number
229-249-5063
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000311066A 05 GA
institution
Provider Business Practice Location Address Details
Address
2501 N Patterson St
City
State
Zip
31602-1735
Phone Number
229-259-4602
Fax Number
229-249-5063
person
Provider Business Mailing Address Details
Address
Po Box 3606
City
State
Zip
31604-3606
Phone Number
229-259-4602
Fax Number
229-249-5063
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
License No.
027048 (Georgia)
Definition
Definition to come...