Individual
DR. VERNON L PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 ROSS CLARK CIRCLE, DOTHAN, AL 36301
(334) 793-5105
Mailing address
1118 ROSS CLARK CIRCLE, ANESTHESIA CONSULTANTS MEDICAL GROUP PC STE 700, DOTHAN, AL 36301
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00025583
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
00025583
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051518440
—
AL
01
—
420979327A
GEORGIA MEDICAID
—
01
—
51518440
BCBS OF ALABAMA
—
Enumeration date
01/10/2006
Last updated
09/27/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us