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Organization
MARK PRUITT FNP PC
Active
Organization
MARK PRUITT FNP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARK A PRUITT FNP (OWNER)
(865) 922-4434
Entity
Organization
Contact information
Practice address
301 S GALLAHER VIEW RD, SUITE 102, KNOXVILLE, TN 37919-5355
(865) 690-0902
(865) 690-0995
Mailing address
8005 WHITESTONE RD, KNOXVILLE, TN 37938-3834
(865) 922-4434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN121028
TN
Other
Enumeration date
04/12/2008
Last updated
04/16/2008
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