# MARC PITTMAN, III, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861739153
- **Authorized official:** DR. MARCUS L. PITTMAN, III M.D. (MEMBER AND MANAGING PARTNER)
- **Authorized official phone:** (985) 892-3661

## Contact information

- **Practice address:** 2659 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-6435
- **Practice address phone:** (985) 898-0008
- **Mailing address:** 307 S JEFFERSON AVE, COVINGTON, LA 70433-3135
- **Mailing address phone:** (985) 892-3661
- **Mailing address fax:** (985) 892-3372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MD.014891 | LA | Yes |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 01/07/2013