Pittman, Barbara D

Pittman, Barbara D is an individual health care provider with primary practice located at 615A Pendleton St , Waycross GA 31501-4724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pittman, Barbara D can be contacted via phone (912) 548-0710.

Contact Information

Primary practice address
615A Pendleton St Waycross GA 31501-4724
Phone: (912) 548-0710
Fax: (912) 548-0071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN108389 Georgia

Profile Details

NPI number 1003208497
LBN Legal business name Pittman, Barbara D
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2015
Last updated May 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003208497 NPPES
Georgia Other 20250I3188 MEDICARE PTAN
Georgia MEDICAID 003158200A MEDICARE PTAN

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