Individual
THEODORE M PITTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 CRUTCHFIELD ST, SUITE B, DURHAM, NC 27704-2771
(919) 479-9727
(919) 479-9731
Mailing address
PO BOX 61038, DURHAM, NC 27715-1038
(919) 544-6318
(919) 544-6336
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68056
BCBS NC INDIV
NC
05
—
8968056
—
NC
Enumeration date
06/17/2006
Last updated
07/09/2007
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