Whitney B Pruitt, | |
270 U.s. 701, Tabor City, Nc, 28463, Tabor City, NC 28463-2846 | |
(910) 653-1901 | |
(910) 320-8435 |
Full Name | Whitney B Pruitt |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 270 U.s. 701, Tabor City, Nc, 28463, Tabor City, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104543545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 5017081 (North Carolina) | Primary |
Entity Name | Goshen Medical Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
Mailing Address | Practice Location Address |
---|---|
Whitney B Pruitt, 11 E Pine Ct, Carolina Shores, NC 28467-2641 Ph: (910) 393-7938 | Whitney B Pruitt, 270 U.s. 701, Tabor City, Nc, 28463, Tabor City, NC 28463-2846 Ph: (910) 653-1901 |
Crystal Marie Kolling, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 N Us Highway 701 Byp, Tabor City, NC 28463 Phone: 910-653-1901 Fax: 910-320-8435 | |
Faith Beking, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 706 E 5th St, Unit B, Tabor City, NC 28463 Phone: 910-377-8002 Fax: 910-377-8032 | |
Mr. Paul A Rhodes, CRNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 N Us Highway 701 Byp, Tabor City, NC 28463 Phone: 205-223-3777 | |
Mr. Kevin Joseph Lundell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Tabor Xing, Tabor City, NC 28463 Phone: 910-653-1901 |