Provider Demographics
NPI:1164536363
Name:PITTMAN, JOHN C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:PITTMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4505 FAIR MEADOWS LN
Mailing Address - Street 2:SUITE 111
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6465
Mailing Address - Country:US
Mailing Address - Phone:919-571-4391
Mailing Address - Fax:919-571-8968
Practice Address - Street 1:4505 FAIR MEADOWS LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6465
Practice Address - Country:US
Practice Address - Phone:919-571-4391
Practice Address - Fax:919-571-8968
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2012-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC316142083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine