Pewitt, Jonathan David

Pewitt, Jonathan David is an individual health care provider with primary practice located at 835 Cogburn Avenue Suite 100, Marietta GA 30060-1008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pewitt, Jonathan David can be contacted via phone (770) 422-5557.

Contact Information

Primary practice address
835 Cogburn Avenue Suite 100 Marietta GA 30060-1008
Phone: (770) 422-5557
Fax: (770) 422-5456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 065413 Georgia

Profile Details

NPI number 1912198979
LBN Legal business name Pewitt, Jonathan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Mar 30th, 2023 - about last year

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 1912198979 NPPES
Guam MEDICAID 003108826A

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