Organization
PRUITTHEALTH - BAMBERG, LLC
Active
Other names
PruittHealth - Bamberg
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
439 NORTH ST, BAMBERG, SC 29003-1330
(803) 245-7525
(803) 245-6747
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108093
—
SC
Enumeration date
01/20/2009
Last updated
06/30/2014
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