Clyde Edwin Pittman in Athens - Plastic Surgery

Clyde Edwin Pittman - NPI 1881794519

Clyde Edwin Pittman is a Plastic Surgery in Athens, Georgia. Clyde Edwin Pittman practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Clyde Edwin Pittman is 1881794519. The last update date is 2010-11-01.

Clyde Edwin Pittman's current location address is 3320 Old Jefferson Road, Athens, Georgia. You can contact this provider via phone number 7063533600 and fax number 7063533777. The mailing address for Clyde Edwin Pittman is 3320 Old Jefferson Road, Athens, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Clyde Edwin Pittman
Address 3320 Old Jefferson Road, Athens, Georgia
Phone Number 7063533600
Fax Number 7063533777
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1881794519
Provider Enumeration Date 2006-09-23
Last Updated Date 2010-11-01

Provider Mailing Address Detail

Address 3320 Old Jefferson Road
City Athens
State Georgia (GA)
Post Code 30607
Phone Number 7063533600
Fax Number 7063533777

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 35502
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

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FAQs about Clyde Edwin Pittman

What is the unique 10-digit identifier code assigned to Clyde Edwin Pittman by the Centers for Medicare & Medicaid Services?

The Clyde Edwin Pittman has been issued the NPI (National Provider Identifier) 1881794519 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Clyde Edwin Pittman's facilities are geographically located?

The facilities of Clyde Edwin Pittman are physically situated at the following location: 3320 Old Jefferson Road, Athens, GA, 30607.

What is Clyde Edwin Pittman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Clyde Edwin Pittman's specialized field of practice is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881794519 to Clyde Edwin Pittman?

The Centers for Medicare & Medicaid Services originally issued the 1881794519 to Clyde Edwin Pittman on 2006-09-23.

As of what date were the Clyde Edwin Pittman's details last updated?

The information pertaining to the Clyde Edwin Pittman, including its address, specialty, and other details, was most recently updated on 2010-11-01.

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