Individual
JITHIN JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-0576
Mailing address
432 HINTON FARM WAY, DACULA, GA 30019-2175
(404) 951-6424
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
04/13/2023
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