Individual
DR. JYOTHI N MATTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3582 OLD MILTON PKWY, ALPHARETTA, GA 30005-4465
(770) 225-3000
(770) 225-3001
Mailing address
7902 AMAWALK CIR, JOHNS CREEK, GA 30097-1920
(770) 225-3000
(770) 225-3001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
050657
GA
Other
Enumeration date
03/09/2007
Last updated
10/26/2010
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