Provider Demographics
NPI:1477752061
Name:PITTS, HAROLD WENDELL (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:WENDELL
Last Name:PITTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5033 KENDALL STA NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-7963
Mailing Address - Country:US
Mailing Address - Phone:770-423-0494
Mailing Address - Fax:770-423-0496
Practice Address - Street 1:1350 WOOTEN LAKE RD NW
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-1349
Practice Address - Country:US
Practice Address - Phone:770-432-0494
Practice Address - Fax:770-432-0496
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA016521174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist