Healthcare Provider Details

I. General information

NPI: 1700990363
Provider Name (Legal Business Name): PATRICIA L. LITTS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WILLIAM H. JOHNSON STREET SUITE 200
FLORENCE SC
29506-2776
US

IV. Provider business mailing address

PO BOX 3239
FLORENCE SC
29502-3239
US

V. Phone/Fax

Practice location:
  • Phone: 843-777-7500
  • Fax: 843-777-7533
Mailing address:
  • Phone: 843-777-7500
  • Fax: 843-777-7533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number23060
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: