| NPI | 1033291695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M PITTMAN Sole Proprietor 859-369-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 32608) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-03-07 |