Individual
MRS. MARIE ANGELLA PITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2989 W ROCK QUARRY RD, BUFORD, GA 30519-4118
(770) 932-4614
Mailing address
4281 ROYAL MUSTANG WAY, SNELLVILLE, GA 30039-5912
(678) 865-9667
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
RN258707
GA
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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