Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 81909 | SC |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 81909 | SC |
NPI | 1891107702 |
---|---|
Provider Name | Dr. Kristen Deyoung Pitts |
First Address | Spartanburg, SC 29303-4205 |
Second Address | Spartanburg, SC 29303-4205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2014 |
Last Update Date | 25/06/2019 |