Provider Demographics
NPI:1396720538
Name:PILCHER, BRITTON L (M D)
Entity type:Individual
Prefix:
First Name:BRITTON
Middle Name:L
Last Name:PILCHER
Suffix:
Gender:M
Credentials:M D
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 30309
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29417-0309
Mailing Address - Country:US
Mailing Address - Phone:843-554-9300
Mailing Address - Fax:843-566-8781
Practice Address - Street 1:1601 WATSON BLVD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3431
Practice Address - Country:US
Practice Address - Phone:912-261-2669
Practice Address - Fax:912-261-0561
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA039906207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA220033319OtherRR MEDICARE
GA949596OtherBCBS GA
GA000716779FMedicaid
GA000716779BMedicaid
GA000716779GMedicaid
GA000716779CMedicaid
GA000716779DMedicaid
GA798505OtherBCBS GA
GA798506OtherBCBS GA
GA000716779EMedicaid
GA850004OtherBCBS GA
GA343139Medicaid
GA850526OtherBCBSGA
GA967285OtherBCBS GA
GA798505OtherBCBS GA
GA22BDGPXMedicare ID - Type Unspecified
GA22BDDJKMedicare ID - Type UnspecifiedSEPA
GA000716779GMedicaid