Individual
MR. JOHN CAMERON PITTARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 WARLEY ST, FLORENCE, SC 29501-4444
(843) 669-6694
(843) 669-2500
Mailing address
255 WARLEY ST, FLORENCE, SC 29501-4444
(843) 669-6694
(843) 669-2500
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12125
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121255
—
SC
Enumeration date
10/14/2005
Last updated
02/18/2010
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