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Individual

CHUCK GREGORY PITTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
STUDENT AG-ACNP

Contact information

Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 325-0335
Mailing address
3377 PAMPAS DR, MYRTLE BEACH, SC 29577-5174
(843) 325-0335

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
222876
SC

Other

Enumeration date
03/09/2018
Last updated
03/10/2018
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