Individual
MICHELLE ANTOINETTE PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
812 BROADWAY ST, MINDEN, LA 71055-3309
(318) 377-4534
(318) 377-4535
Mailing address
346 HOMER RD, MINDEN, LA 71055-2834
(318) 377-4625
(318) 377-8837
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
E-8990
AR
2086S0102X
Surgical Critical Care Physician
Primary
MD.201400
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041611
—
LA
Enumeration date
11/12/2007
Last updated
05/09/2025
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