Individual
ANNA C PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8761 DORCHESTER RD STE 100, NORTH CHARLESTON, SC 29420-7320
(843) 747-4647
(843) 745-0969
Mailing address
8761 DORCHESTER RD STE 100, NORTH CHARLESTON, SC 29420-7320
(843) 747-4647
(843) 745-0969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196264
—
SC
01
—
571020809002
BCBS SC
SC
01
—
571020809034
TRICARE
SC
Enumeration date
06/06/2006
Last updated
03/16/2026
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