Individual
DR. SHANNON LAWRENCE PITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 RIVERSTONE VIS, STE 211, BLUE RIDGE, GA 30513-6648
(706) 632-3670
(706) 632-5928
Mailing address
101 RIVERSTONE VIS, STE 211, BLUE RIDGE, GA 30513-6648
(706) 632-3670
(706) 632-5928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060550
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705001609B
—
GA
05
—
705001609D
—
GA
Enumeration date
11/07/2006
Last updated
02/20/2017
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