Pettitt, Barbara Jean

Pettitt, Barbara Jean is an individual health care provider with primary practice located at 1364 Clifton Rd., Ne Surgical Education Office Room H-121, Atlanta GA 30322. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Pettitt, Barbara Jean can be contacted via phone (404) 727-1293.

Contact Information

Primary practice address
1364 Clifton Rd., Ne Surgical Education Office Room H-121 Atlanta GA 30322
Phone: (404) 727-1293
Fax: (404) 712-0561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 27629 Georgia
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 27629 Georgia

Profile Details

NPI number 1023185600
LBN Legal business name Pettitt, Barbara Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Dec 22nd, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023185600 NPPES
Georgia Other 27629 GA LICENSE

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