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NPI Code Detail

MEDICARE: WILLIAM B. PITTMAN MD

MEDICARE:   WILLIAM B. PITTMAN  MD
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
1207RG0100XGastroenterology Physician20679NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5110095572OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15600998OTHERNCCIGNA HEALTHCARE
229355OTHERNCMEDCOST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
468053OTHERNCBCBSNC

General Provider Information

NPI Number : 1003919804
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM B. PITTMAN MD
Provider Business Mailing Address
First Line : PO BOX 7867
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-0867
Country : US
Telephone Number : 252-451-2700
Fax Number : 252-451-2703
Provider Business Practice Location Address
First Line : 155 NASHVILLE COMMONS DR
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1823
Country : US
Telephone Number : 252-459-7769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 04/25/2014

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Directions to “ WILLIAM B. PITTMAN MD” Practice Location

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