Healthcare Provider Details

I. General information

NPI: 1003947490
Provider Name (Legal Business Name): FITTS SURGICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 ASHLEY CROSSING DR SUITE 155
CHARLESTON SC
29414-5732
US

IV. Provider business mailing address

2270 ASHLEY CROSSING DR SUITE 155
CHARLESTON SC
29414-5732
US

V. Phone/Fax

Practice location:
  • Phone: 843-266-5500
  • Fax: 843-266-5505
Mailing address:
  • Phone: 843-266-5500
  • Fax: 843-266-5505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT W FITTS
Title or Position: OWNER
Credential: M.D.
Phone: 843-266-5500