DR. BARBARA JEAN PETTITT M.D. NPI 1023185600

NPI Information

NPI: 1023185600
Provider Name: DR. BARBARA JEAN PETTITT, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
1364 CLIFTON RD., NE
SURGICAL EDUCATION OFFICE ROOM H-121
ATLANTA, GA
ZIP 30322
Phone: (404) 727-1293
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DR. Barbara Jean Pettitt, M.D. is a pediatric surgery surgery in Atlanta, GA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Barbara Jean Pettitt, M.D. NPI is 1023185600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1364 CLIFTON RD., NE
SURGICAL EDUCATION OFFICE ROOM H-121
ATLANTA, GA
ZIP 30322
Phone: (404) 727-1293
Fax: (404) 712-0561

The enumeration date for this NPI number is 11/29/2006 and was last updated on 12/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		27629	GEORGIA	No
2	2086S0120X	Surgery	Pediatric Surgery	27629	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	27629	OTHER	GEORGIA	GA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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