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Individual
TIMOTHY E PITTS
Active
Individual
TIMOTHY E PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00484151A
—
GA
05
—
00484151B
—
GA
05
—
00484151C
—
GA
01
—
480013247
RAILROAD MEDICARE
GA
01
—
480014103
RAILROAD MEDICARE
GA
Enumeration date
03/24/2006
Last updated
08/01/2012
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