Individual
DR. MICHAEL WILLIAM PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
500 W 3RD AVE, STE 101, ALBANY, GA 31701-1985
(229) 312-5800
Mailing address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
005925
AZ
207P00000X
Emergency Medicine Physician
Primary
073374
GA
207P00000X
Emergency Medicine Physician
20A 12351
CA
Other
Enumeration date
11/14/2006
Last updated
02/10/2015
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