Healthcare Provider Details

I. General information

NPI: 1700014248
Provider Name (Legal Business Name): CHRISTINA PITTS LYNN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 HIGHWAY 17 BYP S
MYRTLE BEACH SC
29588-4500
US

IV. Provider business mailing address

5050 HIGHWAY 17 BYP S
MYRTLE BEACH SC
29588-4500
US

V. Phone/Fax

Practice location:
  • Phone: 803-606-8885
  • Fax:
Mailing address:
  • Phone: 803-606-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number35441
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number0010286908
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35441
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0104460
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number010286908
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number68906
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: