Individual
RONALD EDWARD PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 HARDING ROAD, SUITE 309 MEDICAL PLAZA WEST, NASHVILLE, TN 37205-2013
(615) 383-0165
(615) 292-4657
Mailing address
104 WOODMONT BLVD, SUITE LL50, NASHVILLE, TN 37205-2245
(615) 386-2361
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD0000019680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001895
RAILRAOD MEDICARE
TN
05
—
3048376
—
TN
05
—
Q011236
—
TN
Enumeration date
07/19/2005
Last updated
12/16/2015
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