Individual
ANDREA RAY PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HEALTHY WAY STE 1200, ANDERSON, SC 29621-7916
(864) 260-9910
Mailing address
100 HEALTHY WAY, STE 1200, ANDERSON, SC 29621-7916
(864) 716-6140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35386
SC
207Q00000X
Family Medicine Physician
LL35386
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35386
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353860
—
SC
Enumeration date
02/22/2013
Last updated
05/26/2021
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