Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 20679 | NC |
NPI | 1003919804 |
---|---|
Provider Name | William B. Pittman |
First Address | Rocky Mount, NC 27804-0867 |
Second Address | Nashville, NC 27856-1823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 25/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110095572 | RAILROAD MEDICARE (01) | NC |
29355 | MEDCOST (01) | NC |
5600998 | CIGNA HEALTHCARE (01) | NC |
68053 | BCBSNC (01) | NC |
8968053 | (05) | NC |
C86005 | (02) | NC |