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FITTS SURGICAL LLC NPI 1003947490


NPI Information

NPI: 1003947490
Provider Name: FITTS SURGICAL, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2270 ASHLEY CROSSING DR
SUITE 155
CHARLESTON, SC
ZIP 29414
Phone: (843) 266-5500
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FITTS SURGICAL, LLC is a specialist in Charleston, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FITTS SURGICAL, LLC NPI is 1003947490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2270 ASHLEY CROSSING DR
SUITE 155
CHARLESTON, SC
ZIP 29414-732
Phone: (843) 266-5500
Fax: (843) 266-5505

The provider's authorized official is Robert W Fitts .
The authorized official title is Owner and has the following contact phone number (843) 266-5500.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERSOUTH CAROLINAFEDERAL TAX ID NUMBER
2D80543MEDICARE UPINSOUTH CAROLINA
3H26910MEDICARE UPINSOUTH CAROLINA
47211MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAPROVIDER ID
5GP3374MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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