Individual provider · NPI-1
Montrese Pitmon Alleyne, NP-C
Nurse Practitioner, Family · Stockbridge, GA
NPI number1346593852
StatusActive
Last updated in NPPESAug 13, 2019
Details
- NPI
- 1346593852
- Entity type
- Individual (NPI-1)
- Name
- Montrese Pitmon Alleyne
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2012
- Last updated
- Aug 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 18800 | TN | Yes |
| 363LF0000X | Nurse Practitioner, Family | RN155438 | GA |
Practice location
100 Eagles WalkSuite A
Stockbridge, GA 30281-6335
Phone 770-506-0100
Mailing address
86 Logan LoopCollierville, TN 38017-9789
Phone 678-458-7222
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