Provider Demographics
NPI:1063605905
Name:PITTARD, WILLIAM B III (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:PITTARD
Suffix:III
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:135 RUTLEDGE AVE RM 286
Mailing Address - Street 2:PO BOX 250566
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425
Mailing Address - Country:US
Mailing Address - Phone:843-792-4499
Mailing Address - Fax:843-792-3022
Practice Address - Street 1:135 RUTLEDGE AVE RM 286
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425
Practice Address - Country:US
Practice Address - Phone:843-792-4499
Practice Address - Fax:843-792-3022
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC20-126512080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine