Organization
PRUITTHEALTH - CREEKSIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
2021 SCOTT RD, AUGUSTA, GA 30906-2539
(770) 279-6200
Mailing address
1626 JEURGENS CT, ATTN: LEGAL DEPT, NORCROSS, GA 30093
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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