Pruitt, Anna C

Pruitt, Anna C is an individual health care provider with primary practice located at 3800 Faber Place Dr , North Charleston SC 29405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pruitt, Anna C can be contacted via phone (843) 747-4647.

Contact Information

Primary practice address
3800 Faber Place Dr North Charleston SC 29405
Phone: (843) 747-4647
Fax: (843) 745-0969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19626 South Carolina

Profile Details

NPI number 1023057676
LBN Legal business name Pruitt, Anna C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 20th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023057676 NPPES
South Carolina Other 571020809034 TRICARE
South Carolina MEDICAID 196264 TRICARE
South Carolina Other 571020809002 TRICARE

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