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Managed Care Organizations at Kanawha Dr, Stone Mountain, GA

License number
Georgia 021810
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. DODDAMETIKUR S SIDDAPPA M.D.
Title: STAFF PSYCHIATRIST
Phone: (404) 243-9500
Address
Address
1662 Kanawha Dr, Stone Mountain, GA 30087
National Provider ID: 1457565541
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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