Basic Information
| Provider Information | |||||||||
| NPI: | 1649474685 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LITT | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | SCOTT | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3548 | ||||||||
| Address2: | |||||||||
| City: | AUGUSTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 309143548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7068639595 | ||||||||
| FaxNumber: | 7068688375 | ||||||||
| Practice Location | |||||||||
| Address1: | 7101 JAHNKE RD | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232254017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7068639595 | ||||||||
| FaxNumber: | 7068688375 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2007 | ||||||||
| LastUpdateDate: | 05/20/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 2013043015 | MO | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | DO0000002427 | TN | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 90623 | GA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 0102206860 | VA | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | 2013043015 | MO | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0102X | 90623 | GA | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0102X | DO0000002427 | TN | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0102X | 0102206860 | VA | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care |
No ID Information.