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Individual

JYOTHIRMAYI MAMIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4600 ROSWELL RD UNIT C120, SANDY SPRINGS, GA 30342-3189
(404) 341-9593
Mailing address
3812 MINE CREEK LN, MARIETTA, GA 30062-5884
(216) 534-6237

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN124083
GA

Other

Enumeration date
03/13/2026
Last updated
03/13/2026
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