Individual
DR. TANYA JEAN FITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2166 S LAMAR BLVD, OXFORD, MS 38655-5224
(662) 236-3939
(662) 236-3924
Mailing address
2166 S LAMAR BLVD, OXFORD, MS 38655-5224
(662) 236-3939
(662) 236-3924
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17111
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125498
—
MS
Enumeration date
08/05/2006
Last updated
07/01/2022
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