Organization
PRUITTHEALTH - PICKENS, LLC
Active
Other names
PruittHealth - Pickens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L. PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
163 LOVE AND CARE ROAD, SIX MILE, SC 29682-9569
(864) 868-2307
(864) 868-7813
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF580
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0580NH
—
SC
Enumeration date
05/06/2008
Last updated
05/21/2014
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