Organization
PRUITTHEALTH - COLUMBIA, LLC
Active
Other names
PruittHealth - Columbia
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
2451 FOREST DR, COLUMBIA, SC 29204-2026
(803) 254-5960
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-880
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289473
—
SC
Enumeration date
05/29/2006
Last updated
06/30/2014
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