Individual
MS. EMMA ELIZABETH PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 535-5555
(912) 535-5894
Mailing address
1080 GA HIGHWAY 178, LYONS, GA 30436-4050
(912) 245-1790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10658
GA
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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