| Don L. Pruitt | |
|
3693 State Highway 60 Suches GA 30572-2921 | |
| (706) 747-1421 | |
| (706) 747-1423 |
| Full Name | Don L. Pruitt |
|---|---|
| Speciality | General Practice |
| Location | 3693 State Highway 60, Suches, Georgia |
| Authorized Official Name and Position | Don Lee Pruitt (DOCTOR) |
| Authorized Official Contact | 7067541421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Don L. Pruitt 3693 State Highway 60 Po Box 59 Suches GA 30572-2921 Ph: (706) 747-1421 | Don L. Pruitt 3693 State Highway 60 Suches GA 30572-2921 Ph: (706) 747-1421 |
| NPI Number | 1245428085 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245428085 | NPI | - | NPPES |
| 08 | Other | GA | MEDICARE PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 019982 (Georgia) | Primary |
Medlink Georgia, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56 Firewater Ln, Suches, GA 30572 Phone: 706-788-3234 | |
Union General Hospital Suches Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Firewater Ln, Suches, GA 30572 Phone: 706-747-1036 Fax: 706-747-1046 |