Provider Demographics
NPI:1780684829
Name:BITTING, GEORGE ALAN (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:ALAN
Last Name:BITTING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16584
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4060
Mailing Address - Country:US
Mailing Address - Phone:803-424-5879
Mailing Address - Fax:803-424-5882
Practice Address - Street 1:718 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-3522
Practice Address - Country:US
Practice Address - Phone:803-424-5879
Practice Address - Fax:803-424-5882
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD275702081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00203710OtherOTHER
SC275703Medicaid
SC275703Medicaid
SC275703Medicaid