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Contact Information

DON L. PRUITT
3693 STATE HIGHWAY 60
SUCHES, GA30572-2921
 Phone: 706-747-1421
 Fax: 706-747-1423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DON L. PRUITT

NPI # 1245428085
LBN Legal business name DON L. PRUITT
Authorized official DON PRUITT - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2007
Last updated 10/05/2007 - About 19 years ago
Identifiers
GA License # 019982
GA Other 08 MEDICARE PROVIDER ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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