Dr. Barbara Jean Pettitt
Pediatric Surgery
1364 Clifton Rd., Ne Surgical Education Office Room H-121
Atlanta
, Georgia 30322
Dr. Barbara Jean Pettitt
Pediatric Surgery
1364 Clifton Rd., Ne Surgical Education Office Room H-121
Atlanta
, Georgia 30322
(404) 712-0561
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Barbara Jean Pettitt
- 1364 Clifton Rd., Ne Surgical Education Office Room H-121
- Atlanta, GA
- Zip : 30322
- Fax : (404) 712-0561
- Phone : (404) 727-1293
Second Address
- Dr. Barbara Jean Pettitt
- 1364 Clifton Rd., Ne Surgical Education Office Room H-121
- Atlanta, GA
- Zip : 30322
- Fax : (404) 712-0561
- Phone : (404) 727-1293
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 27629 | GA |
National Provider Identifier
| NPI | 1023185600 |
|---|---|
| Provider Name | Dr. Barbara Jean Pettitt |
| First Address | Atlanta, GA 30322 |
| Second Address | Atlanta, GA 30322 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 22/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 27629 | GA LICENSE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.