Provider Demographics
NPI:1518914837
Name:PITTMAN, ERIC WILLIAMS (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:WILLIAMS
Last Name:PITTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1899 TATE BLVD SE
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4200
Mailing Address - Country:US
Mailing Address - Phone:828-322-3821
Mailing Address - Fax:828-261-2057
Practice Address - Street 1:1899 TATE BLVD SE
Practice Address - Street 2:SUITE 1105
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4200
Practice Address - Country:US
Practice Address - Phone:828-322-3821
Practice Address - Fax:828-261-2057
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15155207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8967873Medicaid
NC8967873Medicaid
NCC86004Medicare UPIN