Individual
DR. JATIN K PITHADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 MANCHESTER EXPY, SUITE F-4, COLUMBUS, GA 31904-6802
(706) 327-7575
(706) 324-2615
Mailing address
2300 MANCHESTER EXPY, SUITE F-4, COLUMBUS, GA 31904-6802
(706) 327-7575
(706) 324-2615
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
044569
GA
207Q00000X
Family Medicine Physician
Primary
44569
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00862111A
—
GA
05
—
00862111D
—
GA
Enumeration date
05/27/2006
Last updated
02/12/2019
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