Organization
PRUITTHEALTH - AUSTELL, LLC
Active
Other names
PruittHealth - Austell
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
1700 MULKEY RD, AUSTELL, GA 30106-1116
(770) 941-5750
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-033-1670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00059276A
—
GA
Enumeration date
05/26/2006
Last updated
04/25/2022
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