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Individual
DR. RODDY PAUL INGRAHAM
Active
Individual
DR. RODDY PAUL INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
13979
GA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
13979
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006982C
PHYSICIAN IDENTIFICATION
GA
Enumeration date
01/08/2007
Last updated
09/11/2025
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