Individual
CHARLI MICHELLE PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7878
Mailing address
PO BOX 98, SAVANNA, OK 74565-0098
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9184704377
CELL
—
Enumeration date
01/21/2021
Last updated
01/21/2021
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