Individual
MR. JON DARRYL PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5491 ROSWELL RD, STE B, ATLANTA, GA 30342
(404) 252-6662
(404) 252-2727
Mailing address
5491 ROSWELL RD, STE B, ATLANTA, GA 30342
(404) 252-6662
(404) 252-2727
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000877
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000838131
—
GA
Enumeration date
12/16/2005
Last updated
05/30/2008
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