Organization
PITTS PROFESSIONAL SERVICES, LLC
Active
Parent organization
PITTS RADIOLOGICAL ASSOCIATES, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PITTS RADIOLOGICAL ASSOCIATES, P.A.
Authorized official
DR. CHARLES R. HUBBARD JR. M.D. (PRESIDENT)
(803) 296-5954
Entity
Organization
Contact information
Practice address
1519 MARION STREET, COLUMBIA, SC 29220-0001
(803) 296-5954
(803) 296-3076
Mailing address
1519 MARION STREET, COLUMBIA, SC 29220-0001
(803) 296-5954
(803) 296-3076
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4473
—
SC
Enumeration date
05/13/2006
Last updated
10/10/2007
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