Individual
OLUBUNMI TITILOPE PITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
(770) 538-7872
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
074717
GA
208M00000X
Hospitalist Physician
Primary
074717
GA
208VP0014X
Interventional Pain Medicine Physician
074717
GA
Other
Enumeration date
08/15/2012
Last updated
11/16/2020
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