Pruett, Taylor S

Pruett, Taylor S is an individual health care provider with primary practice located at 161 River Oaks Dr , Canton MS 39046. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Pruett, Taylor S can be contacted via phone (601) 376-2832.

Contact Information

Primary practice address
161 River Oaks Dr Canton MS 39046
Phone: (601) 376-2832
Fax: (601) 376-1816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 21099 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21099 Mississippi

Profile Details

NPI number 1720246887
LBN Legal business name Pruett, Taylor S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2008
Last updated Jan 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720246887 NPPES
Alabama MEDICAID 156867
Alabama Other P01228873
Alabama MEDICAID 05638761

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