Individual
JOHNNY C PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-2111
Mailing address
193 HIGH RANGE DR, BLAIRSVILLE, GA 30512-1498
(678) 598-4301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8716
GA
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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