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Organization

MARC PITTMAN, III, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARCUS L. PITTMAN, III M.D. (MEMBER AND MANAGING PARTNER)
(985) 892-3661
Entity
Organization

Contact information

Practice address
2659 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-6435
(985) 898-0008
Mailing address
307 S JEFFERSON AVE, COVINGTON, LA 70433-3135
(985) 892-3661
(985) 892-3372

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.014891
LA

Other

Enumeration date
01/07/2013
Last updated
01/07/2013
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