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NPI Code Detail

MEDICARE: DR. CHRISTINA PITTS LYNN M.D.

MEDICARE:  DR. CHRISTINA PITTS LYNN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084B0040XBehavioral Neurology & Neuropsychiatry Physician35441SC
22084B0040XBehavioral Neurology & Neuropsychiatry Physician0010286908VA
32084P0800XPsychiatry Physician35441SC
42084P0800XPsychiatry PhysicianD0104460MD
52084P0800XPsychiatry Physician010286908VA
62084B0040XBehavioral Neurology & Neuropsychiatry Physician68906GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036.151498OTHERILPHYSICIAN & SURGEON
268906OTHERGAMD PSYCHOLOGY

General Provider Information

NPI Number : 1700014248
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA PITTS LYNN M.D.
Provider Business Mailing Address
First Line : 5050 HIGHWAY 17 BYP S
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-4500
Country : US
Telephone Number : 803-606-8885
Fax Number :
Provider Business Practice Location Address
First Line : 5050 HIGHWAY 17 BYP S
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-4500
Country : US
Telephone Number : 803-606-8885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 02/12/2026

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