Organization
THE FAMILY PRACTICE OF DR. GEORGE M. PITTMAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M PITTMAN M.D. (SOLE PROPRIETOR)
(859) 369-0070
Entity
Organization
Contact information
Practice address
3190 IRVINE RD, RICHMOND, KY 40475-9031
(859) 369-0070
(859) 369-0073
Mailing address
PO BOX 3486, RICHMOND, VA 23235-7486
(804) 402-5403
(800) 518-9245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32608
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351815
ANTHEM
KY
01
—
0100012
UHC
KY
01
—
1518
BC
KY
01
—
18D0946970
CLIA
KY
01
—
P00222112
RRMC
KY
Enumeration date
10/20/2006
Last updated
03/07/2023
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