Individual
BARBARA D PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
615A PENDLETON ST, WAYCROSS, GA 31501-4724
(912) 548-0710
(912) 548-0071
Mailing address
615A PENDLETON ST, WAYCROSS, GA 31501-4724
(912) 548-0710
(912) 548-0071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN108389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158200A
—
GA
01
—
20250I3188
MEDICARE PTAN
GA
Enumeration date
02/23/2015
Last updated
05/19/2015
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