Individual
JOHN M PITMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 MONTICELLO AVE, WILLIAMSBURG, VA 23185-2834
(757) 229-5200
(757) 229-2692
Mailing address
324 MONTICELLO AVE, WILLIAMSBURG, VA 23185-2834
(757) 229-5200
(757) 229-2692
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101052484
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007601328
—
VA
01
—
121242
SOUTHERN HEALTH
VA
01
—
140457
ANTHEM
VA
01
—
213427
CIGNA
VA
01
—
289669
ANTHEM
VA
01
—
432612
MAMSI/ALLIANCE
VA
01
—
5209080
AETNA
VA
01
—
54536
SENTARA/OPTIMA
VA
01
—
620043172
RAILROAD MEDICARE
VA
Enumeration date
09/01/2006
Last updated
12/28/2020
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