Individual
MRS. TAMARA PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1499 WALTON WAY, STE. 1400, AUGUSTA, GA 30901-2602
(706) 828-6401
Mailing address
4954 MARBLE DR, EVANS, GA 30809-6046
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
19540
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN191583
GA
Other
Enumeration date
11/17/2014
Last updated
11/12/2015
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