Individual
MRS. ALLISON MCKEE PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6986
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00211
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04482745
—
MS
Enumeration date
04/02/2014
Last updated
02/26/2015
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