Organization
PRUITTHEALTH - ORANGEBURG, LLC
Active
Other names
PruittHealth - Orangeburg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
(770) 279-6200
Entity
Organization
Contact information
Practice address
755 WHITMAN ST SE, ORANGEBURG, SC 29115-6163
(803) 534-7036
(803) 534-7130
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0617NH
—
SC
Enumeration date
07/29/2005
Last updated
07/03/2014
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