Individual
LUCINDA PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
(706) 596-5589
Mailing address
3437 PONTIAC DR, COLUMBUS, GA 31907-2053
(706) 984-0464
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
062131
GA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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