Individual
DR. TRENTON PACE DITTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365A CLIFTON RD NE STE AT-627, ATLANTA, GA 30322-8905
(404) 778-4446
Mailing address
1365A CLIFTON RD NE STE AT-627, ATLANTA, GA 30322-8905
(404) 778-4446
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
39436
SC
2085R0202X
Diagnostic Radiology Physician
Primary
88225
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2012
Last updated
05/04/2022
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