Individual
WESLEY BLAKE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MCDOWELL ST, ASHEVILLE, NC 28801-4104
(828) 258-8545
(828) 254-0714
Mailing address
10 MCDOWELL ST, ASHEVILLE, NC 28801-4104
(828) 258-8545
(828) 254-0714
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2010-00694
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161JH
BLUE CROSS BLUE SHIELD NC
NC
05
—
5914635
—
NC
Enumeration date
03/05/2007
Last updated
11/05/2014
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