Individual
GENESIS PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1723 3RD AVE W, BIRMINGHAM, AL 35208-4207
(205) 780-7132
(205) 787-4310
Mailing address
1723 3RD AVE W, BIRMINGHAM, AL 35208-4207
(205) 780-7132
(205) 787-4310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3650
AL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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