Individual
JONNA LEEANN PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 PETIT LN, WARTBURG, TN 37887-3619
(606) 706-1152
Mailing address
1010 PETIT LN, WARTBURG, TN 37887-3619
(606) 706-1152
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0000004519
TN
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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