Organization
PRUITTHEALTH - FORT OGLETHORPE, LLC
Active
Other names
PruittHealth - Fort Oglethorpe
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
1067 BATTLEFIELD PARKWAY, FORT OGLETHORPE, GA 30742
(706) 861-5154
(706) 866-3230
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1023950
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00214695A
—
GA
Enumeration date
05/29/2006
Last updated
06/03/2021
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