# JOHN M PITMAN III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275635229
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 0101052484 | VA | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 12/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 007601328 | — | VA |
| 01 | — | 121242 | SOUTHERN HEALTH | VA |
| 01 | — | 140457 | ANTHEM | VA |
| 01 | — | 213427 | CIGNA | VA |
| 01 | — | 289669 | ANTHEM | VA |
| 01 | — | 432612 | MAMSI/ALLIANCE | VA |
| 01 | — | 5209080 | AETNA | VA |
| 01 | — | 54536 | SENTARA/OPTIMA | VA |
| 01 | — | 620043172 | RAILROAD MEDICARE | VA |