Ingraham, Roddy Paul
Ingraham, Roddy Paul is an sole proprietor health care provider with primary practice located at 2971 Hurricane Rd , Rocky Face GA 30740-8716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Ingraham, Roddy Paul can be contacted via phone (706) 673-7889.Contact Information
Primary practice address
2971 Hurricane Rd
Rocky Face GA 30740-8716
Phone: (706) 673-7889
Fax: (706) 673-3628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 13979 | Georgia |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 13979 | Georgia |
Profile Details
| NPI number | 1760530133 |
|---|---|
| LBN Legal business name | Ingraham, Roddy Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760530133 | NPPES |
| Georgia | Other | 00006982C | PHYSICIAN IDENTIFICATION |
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