Individual
LACI JARRELL PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 TIFT AVE N STE D, TIFTON, GA 31794-3579
(229) 382-5554
(229) 382-0530
Mailing address
1805 TIFT AVE N STE D, TIFTON, GA 31794-3579
(229) 382-5554
(229) 382-0530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN279870
GA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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