Dr Laura Gray Pruitt, MD | |
109 Bee St, Charleston, SC 29401-5703 | |
(843) 577-5011 | |
Not Available |
Full Name | Dr Laura Gray Pruitt |
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Gender | Female |
Speciality | Dermatology |
Location | 109 Bee St, Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457732059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207N00000X | Dermatology | 52811 (South Carolina) | Primary |
Entity Name | University Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
Mailing Address | Practice Location Address |
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Dr Laura Gray Pruitt, MD 110 Nnptc Cir, Goose Creek, SC 29445-6314 Ph: (843) 789-6683 | Dr Laura Gray Pruitt, MD 109 Bee St, Charleston, SC 29401-5703 Ph: (843) 577-5011 |
Cynthia Irby Wilson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8 Farmfield Ave Ste D, Charleston, SC 29407 Phone: 843-469-5641 | |
Hudson C Rogers, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9295 Medical Plaza Dr, Suite B, Charleston, SC 29406 Phone: 843-797-3960 Fax: 843-553-4216 | |
Manuel Augusto Valdebran Canales, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. John C Maize Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9295 Medical Plaza Dr, Suite A, Charleston, SC 29406 Phone: 843-797-3960 Fax: 843-553-4216 | |
Benjamin Sue-ming Kuo, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Chelsea Danielle Eason, MD Dermatology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 Phone: 843-792-2300 | |
Pearon G Lang Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |