Pruitt, Mark Cleveland
Pruitt, Mark Cleveland is an individual health care provider with primary practice located at 67 Creekside Park Ct , Greenville SC 29615-4810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pruitt, Mark Cleveland can be contacted via phone (864) 522-3700.Contact Information
Primary practice address
67 Creekside Park Ct
Greenville SC 29615-4810
Phone: (864) 522-3700
Fax: (864) 522-3705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25985 | South Carolina |
Profile Details
| NPI number | 1649267139 |
|---|---|
| LBN Legal business name | Pruitt, Mark Cleveland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jun 9th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649267139 | NPPES |
| South Carolina | MEDICAID | 259856 |
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