Individual
DR. JARON KAI PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-4091
Mailing address
2011 25TH AVE S, NASHVILLE, TN 37212-4225
(801) 214-5416
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/14/2024
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