Organization
PRUITTHEALTH - PALMYRA, LLC
Active
Other names
PruittHealth - Palmyra
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
1904 PALMYRA RD, ALBANY, GA 31701-1575
(229) 883-0500
(229) 438-7203
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
—
—
Other
Enumeration date
06/03/2014
Last updated
12/22/2014
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