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NPI Code Detail

MEDICARE: ROBERT N PITTMAN

MEDICARE: ROBERT N PITTMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic SupplierPRO064TN

General Provider Information

NPI Number : 1508930769
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT N PITTMAN
Provider Business Mailing Address
First Line : 1823 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2104
Country : US
Telephone Number : 615-306-1021
Fax Number :
Provider Business Practice Location Address
First Line : 1823 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2104
Country : US
Telephone Number : 615-306-1021
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. ROB NEWELL PITTMAN
Credential : CPO
Telephone Number : 615-340-0068
Provider Enumeration Date : 11/20/2006
Last Update Date : 07/09/2013

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