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Individual

DR. SHANNON B PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3446 WINDER HWY STE 501-Q, FLOWERY BRANCH, GA 30542-3007
(770) 297-5110
(770) 297-5173
Mailing address
1880 RANDOLPH STILL RD, GOOD HOPE, GA 30641-2147
(770) 298-9754

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122451
GA

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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