Pittman, Beau Bryan

Pittman, Beau Bryan is an sole proprietor health care provider with primary practice located at 8001 Centerview Pkwy Ste 218 , Cordova TN 38018-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pittman, Beau Bryan can be contacted via phone (901) 756-1216.

Contact Information

Primary practice address
8001 Centerview Pkwy Ste 218 Cordova TN 38018-4228
Phone: (901) 756-1216
Fax: (901) 756-1412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD019158 Tennessee

Profile Details

NPI number 1780684696
LBN Legal business name Pittman, Beau Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Mar 7th, 2023 - about 3 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 1780684696 NPPES
Tennessee Other MD019158 MEDICAL LICENSE
Tennessee Other 4180438 MEDICAL LICENSE

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