Individual
BONNIE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 HESTER ST, HAZLEHURST, GA 31539-6323
(912) 375-0418
Mailing address
9 HESTER ST, HAZLEHURST, GA 31539-6323
(912) 375-0418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN117135
GA
Other
Enumeration date
10/26/2015
Last updated
01/11/2023
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