Individual
DR. RODDY PAUL INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2971 HURRICANE RD, ROCKY FACE, GA 30740-8716
(706) 673-7889
(706) 673-3628
Mailing address
2971 HURRICANE RD, ROCKY FACE, GA 30740-8716
(706) 673-7889
(706) 673-3628
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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