Organization
PRUITTHEALTH - NORTH AUGUSTA LLC
Active
Other names
PruittHealth - North Augusta
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
1200 TALISMAN DRIVE, NORTH AUGUSTA, SC 29841-4032
(803) 278-2170
(803) 442-9344
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(678) 533-6485
(770) 931-5278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF721
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NF1004
—
SC
05
—
V721NF
—
SC
Enumeration date
05/06/2008
Last updated
06/27/2014
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