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NPI Code Detail

MEDICARE: DR. FERRELL KEITH PITTMAN DC

MEDICARE:  DR. FERRELL KEITH PITTMAN  DC
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
1111N00000XChiropractor1675NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831199355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERRELL KEITH PITTMAN DC
Provider Business Mailing Address
First Line : 2606 W ROOSEVELT BLVD STE A
Second Line :
City : MONROE
State : NC
Zip : 28110-8327
Country : US
Telephone Number : 704-291-9000
Fax Number : 704-291-9102
Provider Business Practice Location Address
First Line : 2606 W ROOSEVELT BLVD STE A
Second Line :
City : MONROE
State : NC
Zip : 28110-8327
Country : US
Telephone Number : 704-291-9000
Fax Number : 704-291-9102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 04/29/2011

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Directions to “ DR. FERRELL KEITH PITTMAN DC” Practice Location

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