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Contact Information

DENNIS M PRUITT SR
390 THOMAS ST
ATOKA, TN38004-7172
 Phone: 901-900-0281
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for DENNIS M PRUITT SR · (Male)

NPI # 1295611374
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2025
Last updated 10/11/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 4492
Hospital affiliation(s) Not Available
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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