Individual
JALAJA P SIDDAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3073 PANTHERSVILLE RD, PATIENT ACCOUNTS, DECATUR, GA 30034-3828
(404) 212-5454
(404) 243-2159
Mailing address
PO BOX 370407, PATIENT ACCOUNTS OFFICE, DECATUR, GA 30037-0407
(404) 212-5454
(404) 243-2159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017085
GA
Other
Enumeration date
01/29/2008
Last updated
03/07/2023
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