| C H Pitts Enterprises, Inc. | |
|
307 Church St Suite A Lagrange GA 30240-2700 | |
| (706) 882-0591 | |
| (706) 845-9546 |
| Full Name | C H Pitts Enterprises, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 307 Church St, Lagrange, Georgia |
| Authorized Official Name and Position | Laura W Webb (OFFICE MANAGER) |
| Authorized Official Contact | 7068820591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C H Pitts Enterprises, Inc. 307 Church St Suite A Lagrange GA 30240-2700 Ph: (706) 882-0591 | C H Pitts Enterprises, Inc. 307 Church St Suite A Lagrange GA 30240-2700 Ph: (706) 882-0591 |
| NPI Number | 1750633319 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750633319 | NPI | - | NPPES |
| 003125834A | Medicaid | GA | |
| 191678896B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 014409 (Georgia) | Secondary |
| 122300000X | Dentist | 009828 (Georgia) | Primary |
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