Individual
DR. BARBARA JEAN PETTITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27629
GA
2086S0120X
Pediatric Surgery Physician
Primary
27629
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27629
GA LICENSE
GA
Enumeration date
11/29/2006
Last updated
12/22/2016
Update your record
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