Pruitt, Christopher M

Pruitt, Christopher M is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-1711. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Pruitt, Christopher M can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-1711
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.28073 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27231 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.28073 Alabama
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 27231 South Carolina

Profile Details

NPI number 1942399217
LBN Legal business name Pruitt, Christopher M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 1st, 2019 - about 7 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 1942399217 NPPES
Alabama Other 1942399217 TRICARE SOUTH
Alabama Other 515-44055 TRICARE SOUTH
Alabama Other 515-40540 TRICARE SOUTH
Alabama Other 9287054 TRICARE SOUTH
Alabama MEDICAID 101785 TRICARE SOUTH
Alabama MEDICAID 009941851 TRICARE SOUTH

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