Pitts, Jon Darryl
Pitts, Jon Darryl is an sole proprietor health care provider with primary practice located at 5491 Roswell Rd Ste B, Atlanta GA 30342. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Pitts, Jon Darryl can be contacted via phone (404) 252-6662.Contact Information
Primary practice address
5491 Roswell Rd Ste B
Atlanta GA 30342
Phone: (404) 252-6662
Fax: (404) 252-2727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD000877 | Georgia |
Profile Details
| NPI number | 1518943059 |
|---|---|
| LBN Legal business name | Pitts, Jon Darryl |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | May 30th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518943059 | NPPES |
| Georgia | MEDICAID | 000838131 |
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