Organization
PITMAN SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURA M SMITH (OFFICE MANAGER)
(757) 229-4958
Entity
Organization
Contact information
Practice address
326 MONTICELLO AVE, WILLIAMSBURG, VA 23185-2834
(757) 229-4958
(757) 229-3118
Mailing address
326 MONTICELLO AVE, WILLIAMSBURG, VA 23185-2834
(757) 229-4958
(757) 229-3118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101014066
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283309
ANTHEM BSBC
VA
05
—
7400870
—
VA
Enumeration date
07/16/2006
Last updated
04/16/2013
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