Individual
MR. CARLOS TERRELL PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 272-8737
Mailing address
1541 MEDICAL DR, TALLAHASSEE, FL 32308-4615
(850) 431-7801
(850) 431-7809
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107816
FL
Other
Enumeration date
03/18/2014
Last updated
03/31/2017
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