Barbara D Pittman
Nurse Practitioner - Family Medicine
615a Pendleton St
Waycross
, Georgia 31501-4724
Barbara D Pittman
Nurse Practitioner - Family Medicine
615a Pendleton St
Waycross
, Georgia 31501-4724
(912) 548-0071
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Barbara D Pittman
- 615a Pendleton St
- Waycross, GA
- Zip : 31501-4724
- Fax : (912) 548-0071
- Phone : (912) 548-0710
Second Address
- Barbara D Pittman
- 615a Pendleton St
- Waycross, GA
- Zip : 31501-4724
- Fax : (912) 548-0071
- Phone : (912) 548-0710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN108389 | GA |
National Provider Identifier
| NPI | 1003208497 |
|---|---|
| Provider Name | Barbara D Pittman |
| First Address | Waycross, GA 31501-4724 |
| Second Address | Waycross, GA 31501-4724 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2015 |
| Last Update Date | 19/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003158200A | (05) | GA |
| 20250I3188 | MEDICARE PTAN (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.