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Individual

MICHAEL J PITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35233-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L-1766DP
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000085063
BLUE CROSS
AL
05
000085063
AL
01
00124784
MISSISSIPPI MEDICAID
MS
05
009932036
AL
05
009932064
AL
05
009936977
AL
05
009980350
AL
01
0116890
MISSISSIPPI MEDICAID
MS
01
051505680
BLUE CROSS
AL
01
051506080
BLUE CROSS
AL
01
051513005
BLUE CROSS
AL
01
051534314
BLUE CROSS
AL
01
300059298
RAILROAD MEDICARE
AL
01
E28390
VIVA
AL
Enumeration date
07/10/2006
Last updated
08/03/2011
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