Individual
TAMMY PITTS RADNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1074 LAZY LN, RENTZ, GA 31075-3424
(478) 984-1345
(478) 275-0813
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
(478) 274-5508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN069258
GA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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