Individual
HOUSTON HARRIS PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1107 MEMORIAL DR, SUITE 100, DALTON, GA 30720-8668
(706) 529-9630
(706) 529-9631
Mailing address
1107 MEMORIAL DRIVE, SUITE 100, DALTON, GA 30720
(706) 529-9630
(706) 529-9631
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
018065
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00082541D
—
GA
01
—
P00698252
RR MEDICARE
GA
Enumeration date
12/01/2005
Last updated
01/24/2013
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