Individual
STEPHEN A CHITTY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 STARLING ST, SUITE 504, BRUNSWICK, GA 31520-4265
(912) 466-5504
(912) 466-5593
Mailing address
2500 STARLING ST, SUITE 504, BRUNSWICK, GA 31520-4265
(912) 466-5504
(912) 466-5593
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
056030
GA
207RP1001X
Pulmonary Disease Physician
Primary
056030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190251658B
—
GA
05
—
190251658C
—
GA
01
—
P00345732
RAILROAD MEDICARE
GA
Enumeration date
10/14/2005
Last updated
01/05/2026
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