Tessla Pitman PA-C

NPI 1205079399 - Physician Assistant - 363AM0700X

NPI Details
NPI 1205079399
Gender Female
Enumeration Date 04/20/2009
Last Updated 01/09/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
84 SOMERSET BLVD
CHARLES TOWN WV, 25414-4827, US
Phone (304) 728-8533
Fax
Business Location
84 SOMERSET BLVD
CHARLES TOWN WV, 25414-4827, US
Phone (304) 728-8533
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State West Virginia
License Number 421
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According to our database, Ms. Tessla Pitman PA-C NPI is 1205079399, taxonomy code is 363AM0700X and license number is 421, license state is located at West Virginia. Tessla Pitman PA-C physically located at 84 Somerset Blvd, Charles Town WV, 25414-4827. NPI Number Tessla Pitman PA-C has the Individual type.

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1205079399 NPI number is provided on an as is basis without warranty of any kind. 1205079399 is maintained by the National Plan & Provider Enumeration System. The contents of Tessla Pitman PA-C are for informational purposes only.