Individual
KIA M PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 FAYE CT, MCDONOUGH, GA 30253-4124
(678) 554-8624
Mailing address
1213 FAYE CT, MCDONOUGH, GA 30253-4124
(678) 554-8624
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87-3772088
PITTS STOP TRANSPORTATION INC
GA
Enumeration date
03/09/2022
Last updated
03/09/2022
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