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
Fax: (864) 522-3705
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649267139 NPPES
South Carolina MEDICAID 259856

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