Individual provider · Type 1 NPI

Simon Michael Pitman, DO

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1053051003 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Fax (336) 716-9642

Mailing address

One Medical Center Blvd
Winston Salem, NC 27157-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053051003

Simon Michael Pitman, DO's National Provider Identifier is 1053051003, issued on Mar 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 29, 2022.