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Jaydip
Jaydip
Datta
Medical doctor
Marietta, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
JAYDIP DATTA
Job Title
Medical Doctor
Location
Marietta, GA, USA
LIC ID
126437
Current License Expiration Date
31/01/2025
Original Date
26/10/2016
Professional Rank Code
ME
Effective Date
26/10/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Mailing Address Line 2
SUITE 400
Practice Location Address Line 1
790 CHURCH STREET
Practice Location Address Line 2
SUITE 400
Practice Location Address City
MARIETTA
Practice Location Address State
GA
Practice Location Address Zipcode
30060
Prescribing Indicator
N
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