Provider Demographics
NPI:1366911190
Name:LITTLETON, MITCHELL SETH (MD)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:SETH
Last Name:LITTLETON
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 1:721 CHAMBERS RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-1280
Mailing Address - Country:US
Mailing Address - Phone:180-362-7756
Mailing Address - Fax:
Practice Address - Street 1:721 CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-1280
Practice Address - Country:US
Practice Address - Phone:803-627-7566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC17601Medicaid