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Contact Information

TAYLOR S PRUETT, MD
161 RIVER OAKS DR
CANTON, MS39046
 Phone: 601-376-2832
 Fax: 601-376-1816
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for TAYLOR S PRUETT · (Female)

NPI # 1720246887
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2008
Last updated 01/02/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 21099
  • AL Medicaid 156867
  • MS Medicaid 05638761
  • MS Other P01228873 RR MEDICARE PTAN
Hospital affiliation(s)
  • MADISON RIVER OAKS MEDICAL CENTER - (Acute Care)
    161 RIVER OAKS DRIVE
    CANTON, MS 39046
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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