Individual
DR. TRACY B PITTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 MARKS RD, OCEAN SPRINGS, MS 39564-4350
(228) 872-6329
(228) 872-7758
Mailing address
12 MARKS RD, OCEAN SPRINGS, MS 39564-4350
(228) 872-6329
(228) 872-7758
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MS12531
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117495
—
MS
Enumeration date
07/05/2005
Last updated
07/08/2007
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