Provider Demographics
NPI:1194814079
Name:PITTS, SUSAN SAJESKI (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:SAJESKI
Last Name:PITTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7228 PITTSBORO - MONCURE RD.
Mailing Address - Street 2:
Mailing Address - City:MONCURE
Mailing Address - State:NC
Mailing Address - Zip Code:27559
Mailing Address - Country:US
Mailing Address - Phone:919-542-4991
Mailing Address - Fax:919-542-3726
Practice Address - Street 1:7228 PITTSBORO - MONCURE RD.
Practice Address - Street 2:
Practice Address - City:MONCURE
Practice Address - State:NC
Practice Address - Zip Code:27559
Practice Address - Country:US
Practice Address - Phone:919-542-4991
Practice Address - Fax:919-542-3726
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28556208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics