Pruitt, Don L
Pruitt, Don L is an sole proprietor health care provider with primary practice located at 56 Firewater Ln , Suches GA 30572-2941. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Pruitt, Don L can be contacted via phone (706) 747-1421.Contact Information
Primary practice address
56 Firewater Ln
Suches GA 30572-2941
Phone: (706) 747-1421
Fax: (706) 747-1423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 019982 | Georgia |
Profile Details
| NPI number | 1194808253 |
|---|---|
| LBN Legal business name | Pruitt, Don L |
| Credentials | M.D. PROF.CORP. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Sep 30th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194808253 | NPPES |
| Georgia | MEDICAID | 000192255F |
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