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1164523254
BANDUPRIYA P VIDANAGAMA
ATLANTA, GA
NPI
1164523254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 18758)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
-- BANDUPRIYA P VIDANAGAMA M.D.
80 JESSE HILL JR DR SE
ATLANTA, GA 30303-3031
Phone number: 404-616-4307
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Mailing Address
-- BANDUPRIYA P VIDANAGAMA M.D.
80 JESSE HILL JR DR SE
ATLANTA, GA 30303-3031
Phone number: 404-616-4307
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