Individual
MARY OLIVIA TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
27727
SC
208M00000X
Hospitalist Physician
27727
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277275
—
SC
Enumeration date
08/29/2006
Last updated
11/17/2025
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