Individual
DR. UJWAL SIDDAMREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1506 THORNTON AVENUE, DALTON, GA 30720-8515
(706) 270-5047
(706) 270-5055
Mailing address
1620 HICKORY ST, SUITE 404, DALTON, GA 30720-2312
(706) 270-5003
(706) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
053156
GA
Other
Enumeration date
12/15/2006
Last updated
05/11/2010
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