# DON L. PRUITT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245428085
- **Authorized official:** DR. DON LEE PRUITT MD (DOCTOR)
- **Authorized official phone:** (706) 754-1421

## Contact information

- **Practice address:** 3693 STATE HIGHWAY 60, SUCHES, GA 30572-2921
- **Practice address phone:** (706) 747-1421
- **Practice address fax:** (706) 747-1423
- **Mailing address:** 3693 STATE HIGHWAY 60, PO BOX 59, SUCHES, GA 30572-2921
- **Mailing address phone:** (706) 747-1421
- **Mailing address fax:** (706) 747-1423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 019982 | GA | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 10/05/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08 | MEDICARE PROVIDER ID | GA |