Individual
TIMOTHY E PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2718 N OAK ST, VALDOSTA, GA 31602-1781
(229) 242-3668
(229) 253-8666
Mailing address
2718 N OAK ST, VALDOSTA, GA 31602-1781
(229) 242-3668
(229) 253-8666
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00484151A
—
GA
05
—
00484151B
—
GA
05
—
00484151C
—
GA
01
—
480013247
RAILROAD MEDICARE
GA
01
—
480014103
RAILROAD MEDICARE
GA
Enumeration date
03/24/2006
Last updated
08/01/2012
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