Individual
SIDDARDTH UMAPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 E HOSPITAL ROAD, PAIN MEDICINE CLINIC, FORT EISENHOWER, GA 30905
(706) 787-3286
Mailing address
300 E HOSPITAL ROAD, PAIN MEDICINE CLINIC, FORT EISENHOWER, GA 30905
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
0102206225
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
101656
GA
Other
Enumeration date
04/04/2019
Last updated
03/18/2025
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