Individual
DR. LAURA GRAY PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 789-6683
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
52811
SC
Other
Enumeration date
06/09/2015
Last updated
07/12/2024
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