Doctor Name: | MRS. JULIA G PITTMAN |
NPI Number: | 1427393875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 97461 |
Business Practice Address: | 1311 Scott Street Lake View, SC - 295633003 |
Business Phone Number: | 8437593003 |
Business Fax Number: | 8437593013 |
Mailing Address: | Po Box 685, LAKE VIEW |
State: | SC |
Postal Code: | 295630685 |
Phone Number: | 8437593003 |
Fax Number: | 8437593013 |
NPI Enumeration Date: | 12/11/2012 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 97461 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |