Organization
PRUITTHEALTH - CONWAY, LLC
Active
Other names
PruittHealth - Conway at Conway Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
(770) 279-6200
Entity
Organization
Contact information
Practice address
2379 CYPRESS CIR, CONWAY, SC 29526-8921
(843) 347-8179
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
—
0518NH
—
SC
Enumeration date
10/31/2018
Last updated
05/29/2019
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