SearchMississippi163WP0808X

Tamara Pittman-Johnson

NPI 1154994275 · on the registry since 2021 · sole proprietor

Practice

Address
1019 Worthington Dr
Southaven, MS 38671
Phone
(901) 494-5175

Registry record

Primary taxonomy
163WP0808X
163WP0808X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi