Individual
DR. CHARLEE CAROLINE PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1205 HUTTO ST, ORANGEBURG, SC 29118-1454
(803) 531-3911
(803) 531-2666
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(763) 348-2075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL83214
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39
TAXONOMY
—
05
—
832148
—
SC
Enumeration date
04/02/2020
Last updated
12/23/2024
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