Basic Information
| Provider Information | |||||||||
| NPI: | 1154563260 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DITTUS | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
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| Credential: | DO, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 170 MANNING DRIVE, 3RD FLOOR | ||||||||
| Address2: | CAMPUS BOX 7305 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27599 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 170 MANNING DRIVE 3RD FLOOR CAMPUS BOX 7305 | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275996287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9849740000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2009 | ||||||||
| LastUpdateDate: | 09/14/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 254746 | MA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207RH0003X | 2016-00446 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.