Organization
PRUITTHEALTH HOSPICE, INC
Active
Other names
Pruitthealth Hospice - Valdosta
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 925-1143
Entity
Organization
Contact information
Practice address
407 COWART AVE, VALDOSTA, GA 31602-2635
(229) 242-1187
(229) 242-0562
Mailing address
1626 JEURGENS CT, LEGAL DEPT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00849494A
—
GA
Enumeration date
06/03/2006
Last updated
09/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us