Individual
MR. CLYDE EDWIN PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3320 OLD JEFFERSON ROAD, BLDG 100, ATHENS, GA 30607
(706) 353-3600
(706) 353-3777
Mailing address
3320 OLD JEFFERSON ROAD, BLDG 100, ATHENS, GA 30607
(706) 353-3600
(706) 353-3777
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
035502
GA
Other
Enumeration date
09/23/2006
Last updated
11/01/2010
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