MEDICARE: DR. DOUGLAS OWENS PITT D.C.

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
1	111N00000X	Chiropractor	1848	AL

General Provider Information

NPI Number	:	1487868667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS OWENS PITT D.C.

Provider Business Mailing Address
First Line	:	764 E GLENN AVE
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-5017
Country	:	US
Telephone Number	:	334-501-4691
Fax Number	:	334-501-4693

Provider Business Practice Location Address
First Line	:	764 E GLENN AVE
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-5017
Country	:	US
Telephone Number	:	334-501-4691
Fax Number	:	334-501-4693

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

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